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VASCULAR SURGERY
Case #4 -
A 75 year old with acute abdominal and back pain

DISCUSSION QUESTIONS:
1.) Given this clinical presentation, what is the most likely diagnosis?  Answer 
2.) On the patient's arrival in ER what must be done in the immediate management?  Answer 
3.) What is the differential diagnosis and how can you most quickly confirm or rule out these diagnoses?  Answer 
4.) What is the role of CT scan in a patient with ruptured AAA?  Answer 
5.) When should you operate on ruptured AAA?  Answer 
6.) What is your greatest immediate concern in operating on these patients? What can you do to prevent or control this?  Answer 
7.) What is the mortality of ruptured AAA?  Answer 
8.) If they reach the OR, what is the operative mortality?  Answer 
9.) What common postop complication is heralded by a bloody bowel movement?  Answer 
 
  The Virtual Patient > Case List > VASCULAR SURGERY - Case # 4