Leaking AAA

Question 1

Signs/symptoms

Answer 1

Severe constant/colicky abdo pain radiating to back 
Collapse
Feeling faint
Expansile abdo mass
High HR
Low BP
High RR
Pale
Sweating
Cool extremities
Distension
Tenderness
Decreased peripheral leg pulses

Question 2

Risk factors

Answer 2

Increased age
Male
Smoking
IHD
High cholesterol
Known AAA

Question 3

Investigations

Answer 3

NONE IF UNSTABLE

CT

Question 4

Management

Answer 4

Oxygen (15L/min)
Large-bore IV access
STAT colloid/blood (keep systolic BP 90-100)
Prepare to transfer to theatre