Groin Pain & Syncope
UnFiNiShEd CaSe CoMe BaCk LaTeR
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
History of Present Illness:
A man in his 60s presents to the ED for one day of left groin pain that started in the morning and became severe after dinner with a syncopal episode
Vital Signs & Physical Exam:
Vital signs are normal except for pulse of 48 and BP of 88/62. Physical exam is otherwise normal except for diminished left leg pulse.
Initial Diagnostic Testing:
- EKG: none
- Labs: none ordered
- Imaging: a CT scan is done
QUESTIONS:
- What does the case image show?
- What should you do next?
- Want a 1-minute consult/tutorial on this case?
- Want to know what happened with this patient?
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
<<<<<<<<<<<<<<<<<<<< ADVERTISEMENT & SPACER >>>>>>>>>>>>>>>>>>>>
******************************************************************************
THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA
Get one of our publications, all designed specifically for Emergency Care Providers:
-
Tarascon Emergency Department Quick Reference Guide, 2nd edition
-
Emergency Medicine 1-Minute Consult Pocketbook, 5th edition (NEW)
-
A to Z pocket EM Pharmacopoeia, 4th ed (BRAND NEW)
*****************************************************************************
<<<<<<<<<<<<<<<<<<<<<<<<< END SPACER >>>>>>>>>>>>>>>>>>>>>>>>>
ANSWERS:
- What does the case image show? The image shows a ruptured 7.5cm iliac artery aneurysm on the left.
- What should you do next? Aim to keep BP on the low side to prevent further bleeding. Call vascular for emergent intervention
- Want a 1-minute consult/tutorial on this case? See yellow area from sample page below.
- Want to know what happened with this patient? See case conclusion below tutorial page.
1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook
CLICK HERE TO LEAR MORE ABOUT THIS BOOK
CASE CONCLUSION: Iliac artery aneurysm 7.5 cm with rupture and retroperitoneal hematoma