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Old 07-01-2011
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Question Management of abdominal aortic aneurysm >5cm and <5cm?

how to evaluate and treat a abdominal aortic aneurysm >5cm and <5cm? anyone answer plz..
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ultrasonography is used for evaluation..

Screening men ages 6574 years (not restricted to ever smokers). 'Men in whom abdominal aortic aneurysms (> or =3 cm in diameter) were detected were followed-up... Patients with an aortic diameter of 3044 cm were rescanned at yearly intervals, whereas those with an aortic diameter of 4554 cm were rescanned at 3-monthly intervals ... Surgery was considered on specific criteria (diameter > or =5.5 cm, expansion > or =1 cm per year, symptoms)'.

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Quote:
Originally Posted by MANIAKOS View Post
ultrasonography is used for evaluation..

Screening men ages 6574 years (not restricted to ever smokers). 'Men in whom abdominal aortic aneurysms (> or =3 cm in diameter) were detected were followed-up... Patients with an aortic diameter of 3044 cm were rescanned at yearly intervals, whereas those with an aortic diameter of 4554 cm were rescanned at 3-monthly intervals ... Surgery was considered on specific criteria (diameter > or =5.5 cm, expansion > or =1 cm per year, symptoms)'.

wikipedia
In general, it's best to follow the US Preventitive Services Task Force Guidelines: http://www.uspreventiveservicestaskf...f/uspsaneu.htm
  • <LI class=crowded_li>The USPSTF recommends one-time screening for abdominal aortic aneurysm (AAA) by ultrasonography in men aged 65 to 75 who have ever smoked.
    Grade: B Recommendation.
  • The USPSTF makes no recommendation for or against screening for AAA in men aged 65 to 75 who have never smoked.
    Grade: C Recommendation.
  • The USPSTF recommends against routine screening for AAA in women.
    Grade: D Recommendation.
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