Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of a known large abdominal aortic aneurysm (AAA). Patient denies acute abdominal or back pain, syncope, or hemodynamic instability. No history of recent trauma or unexplained hypotension. Current symptoms are [asymptomatic/mild abdominal discomfort/pulsatile sensation]. Review of systems is negative for constitutional symptoms or claudication.
Clinical Examination Findings
Abdominal exam reveals a palpable, expansile, pulsatile mass in the periumbilical region. Auscultation reveals no audible bruits. Peripheral pulses (femoral, popliteal, dorsalis pedis) are [symmetric/asymmetric] and [present/diminished]. No signs of lower extremity ischemia or livedo reticularis. Hemodynamically stable with blood pressure [X/Y] mmHg.
Treatment Protocol
Plan: 1. Strict blood pressure control (target SBP <120 mmHg) using [Beta-blockers/ACE inhibitors]. 2. Smoking cessation counseling and nicotine replacement therapy. 3. Statin therapy for lipid management. 4. Referral to Vascular Surgery for elective repair evaluation (EVAR vs. open repair). 5. Serial surveillance imaging (CTA/Ultrasound) as per clinical guidelines.