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And here is the beauty of Emergency Medicine. Making huge decisions, with minimal information.

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Reading thru the scenario, a couple of things made me doubt AAA... not that it would have changed my management one way or the other... volume, analgesia as tolerated....

The first one was that he was on a transplant list. These involve extensive workup that would have included an abdominal CT which would have caught an AAA at risk of rupture.

The second was that he had no major risk factors for AAA. Non smoker, no documented peripheral vascular disease and he's early 50's. Not to say that a person like this couldn't present with a AAA, just unlikely...

 

 

 

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