Abdominal Aortic Aneurysm by robert meertens https://padlet.com/rmmeertens1/6abs8wr9t4er Please add some info to complete this. en-us 2016-10-26 13:28:42 UTC 2016-10-27 16:00:25 UTC hello@padlet.com https://padlet-assets.s3.amazonaws.com/icons/Xmastree.png CLINICAL FACTORS rmmeertens1 https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133311078 Risk factors, clinical presentation, pathogenesis etc.]]> 2016-10-26 13:30:26 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133311078 IMAGING MODALITIES rmmeertens1 https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133311175 Including indications, pros/cons, image appearances]]> 2016-10-26 13:30:38 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133311175 TREATMENT OPTIONS rmmeertens1 https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133311295 Including risks and benefits]]> 2016-10-26 13:30:52 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133311295 risk factors- https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570101 -age
-hypertension
-cholesterol levels
-genetics
-males
]]> 2016-10-27 11:06:57 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570101 Clinical presentation: Complaints of a sudden and severe pain in the abdomen, e.g. "Ooh, I've just had a sudden and severe pain in my ab-"  followed by death. https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570477 2016-10-27 11:09:49 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570477 smoking https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570529 2016-10-27 11:10:08 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570529 male smoker aged 65+ https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570537 2016-10-27 11:10:11 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570537 CT/MRI: Contrast medium adverse effects https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570565 2016-10-27 11:10:22 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570565 Causes- https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570578 smoking
eating a high-fat diet
no exercise


]]> 2016-10-27 11:10:26 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570578 https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570594 Male, are/have ever been a smoker, high blood pressure, coronary artery disease and peripheral vascular disease, family history of AAA

]]> 2016-10-27 11:10:31 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570594 Can use SPECT to look at function (ie early changes in endovascular cells indicating AAA likely to develop) https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570601 2016-10-27 11:10:33 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570601 GENETICS https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570616 2016-10-27 11:10:39 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570616 Surgical intervention https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570626 2016-10-27 11:10:43 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570626 men 6x more likely than women https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570633 2016-10-27 11:10:46 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570633 AAA Stenting https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570634 EVAR (Endovascular aneurysm repair)


]]> 2016-10-27 11:10:47 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570634 endovascular surgery https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570659 2016-10-27 11:10:53 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570659 Surgical interventions including surgical/endovascular repair https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570660 2016-10-27 11:10:53 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570660 Often asymptomatic until the aneurysm ruptures. Very poor prognosis. https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570661 2016-10-27 11:10:53 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570661 increased risk with age https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570673 2016-10-27 11:10:58 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570673 In some people, as they get older, the wall of the aorta in the abdomen can become weak. It can then start to expand and form an abdominal aortic aneurysm. The condition is most common in men aged 65 and over.  https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570685 2016-10-27 11:11:03 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570685 Ultrasound for routine screening. Can use it to measure size of aorta https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570686 2016-10-27 11:11:03 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570686 A balloon-like swelling in the wall of the aorta within the abdomen https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570692 2016-10-27 11:11:06 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570692 High blood pressure and cholesterol https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570699 2016-10-27 11:11:09 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570699 asymptomatic - why there is a screening program for men over 65 https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570713 2016-10-27 11:11:15 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570713 The NHS abdominal aortic aneurysm ( AAA ) screening programme is available for all men aged 65 and over in England. https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570720

]]> 2016-10-27 11:11:17 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570720 Annual screening age 65+ https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570739 2016-10-27 11:11:25 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570739 screening with ultrasound https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570748 2016-10-27 11:11:29 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570748 a pulsating feeling in your stomach (abdomen), usually near your belly button, that's usually only noticeable when you touch it persistent back pain, persistent abdominal pain  https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570749 2016-10-27 11:11:30 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570749 Statins https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570764 2016-10-27 11:11:36 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570764 don't screen women account or men under 65 https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570787 2016-10-27 11:11:47 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570787 family history of AAA https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570812 2016-10-27 11:11:58 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570812 Ultrasound: quick, low-cost, quite accurate and reliable. Disadvantages: bowel gas and obesity https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570817 2016-10-27 11:12:00 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570817 https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570827 Abdo X-ray will show calcium deposits lining the wall of an AAA in some, but not all cases.]]> 2016-10-27 11:12:04 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570827 STRENGTH OF CT https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570840 Preferred spatial resolution ]]> 2016-10-27 11:12:09 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570840 catch early can monitor or operate before rupture https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570845 2016-10-27 11:12:13 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570845 AAA most commonly fusiform in appearance https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570857 2016-10-27 11:12:17 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570857 EVAR https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570894 2016-10-27 11:12:31 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570894 men 6 times more likely to have AAA than women https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570907 2016-10-27 11:12:37 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570907 weakness of mri/ct - uncomfortable for pt https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570908 2016-10-27 11:12:37 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570908 (AAA) is a common, progressive, and potentially lethal vascular disease.  https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570937 2016-10-27 11:12:49 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570937  Recovery rates: Endovascular surgery - 98-99% of patients make full recovery https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570958 Open surgery - 93-97% of patients make full recovery.]]> 2016-10-27 11:12:54 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570958 Atherosclerosis https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570987 2016-10-27 11:13:05 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133570987 change in prevalence. screening may not be cost effective. likely due to decline in smoking https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133571044 2016-10-27 11:13:23 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133571044 disruption of the elastic fibres in the extra cellular matrix, causing expansion in the wall under bressure.  a balloon effect https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133571056 2016-10-27 11:13:27 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133571056  Atherosclerosis https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133571058 2016-10-27 11:13:28 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133571058 Prevention https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133571061 Efforts to lower bp 

]]> 2016-10-27 11:13:30 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133571061 https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133571102 2016-10-27 11:13:45 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133571102 Stop smoking https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133571122 2016-10-27 11:13:54 UTC https://padlet.com/rmmeertens1/6abs8wr9t4er/wish/133571122