11 results
Pulsatile AAA on Abdominal Exam

A 66-year-old man presented with a 2-month history of abdominal bloating and
abdominal mass, which CT ... aneurysm. ... #PhysicalExam #Aneurysm ... #Aortic #Aorta ... Clinical #Video #NJEM
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework

VENOUS THROMBOSIS

 • Acquired Risk Factors:
	- >48 hours
originating from aneurysms ... atheroemboli) • Aorta ... - Aortic mural ... Dissection • Aneurysm ... pathophysiology #hematology
You may think this a dissection but it's actually an aortic aneurysm filled with thrombus, "with
it's actually an aortic ... aneurysm filled ... CT Confirmed. ... AbdominalAorticAneurysm #Aorta
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
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
Retroperitoneum and aorta ... concentration PET-CT ... conventional imaging (aorta ... workup #treatment #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
< 30 years - Aorta ... branches • GCA: - Aorta ... Thrombosis and arterial aneurysms ... aneurysm • Medium ... differential #diagnosis #rheumatology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... in literature (NEJM ... cases (Cornelia NEJM ... them, but urgent rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
< 30 years • Aorta ... Arteritis): • Aorta ... pain and GN Anti-GBM ... Thrombosis and arterial aneurysms ... Differential #Diagnosis #Rheumatology
Aortic dissection on Cardiac CTA

This is a amazing gated CTA showing a real time cine clip
aneurysm. ... the ascending aorta ... the descending aorta ... usually made by a CT ... cardiology #radiology #aorta
Ruptured AAA on POCUS

Nice pick up with a POCUS RUSH exam in a patient with undifferentiated
sometimes - MCW EM ... ultrasound #abdominal #aneurysm ... #aorta