9 results
Pulsatile AAA on Abdominal Exam

A 66-year-old man presented with a 2-month history of abdominal bloating and
mass, which CT ... to be a large aortic ... PhysicalExam #Aneurysm #Aortic ... #Aorta #Clinical ... #Video #NJEM #vascular
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
triad: Bleeding, abdominal ... , and palpable abdominal ... de novo between aorta ... • CT findings ... or within the aorta
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
Retroperitoneum and aorta ... concentration PET-CT ... Imaging (→ Diagnostic ... conventional imaging (aorta ... workup #treatment #rheumatology
Vasculitis - Break down based on vessel size 
Distribution of vessel involvement by large vessel vasculitis,
of vessel, from aorta ... left to right) aorta ... Anti-GBM = anti–glomerular ... #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- GI tract: abdominal ... < 30 years - Aorta ... branches • GCA: - Aorta ... Supply gut -> abdominal ... #rheumatology #
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... Diagnosis = clinical ... in literature (NEJM ... cases (Cornelia NEJM ... them, but urgent rheumatology
Aortic dissection carries an incredibly high mortality that increases 1%/hour. POCUS can be used as a
life threatening diagnosis ... seen on POCUS, CT ... The aorta is the ... anterior third of the aorta ... AorticDissection #Aorta
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
< 30 years • Aorta ... Arteritis): • Aorta ... multiplex • GI tract: Abdominal ... gut involvement, abdominal ... #Rheumatology
Ruptured AAA on POCUS

Nice pick up with a POCUS RUSH exam in a patient with undifferentiated
AAA is hard to diagnose ... sometimes - MCW EM ... clinical #ultrasound #abdominal ... #aneurysm #aorta