48 years old gentleman presented to emergency department with sudden chest and interscapular pain,He has only history of DM,No cardiac historyHb 13 gm/dlEmergency department called you and cardiology team to review the patientCTA images included What would your assessment approach (history taking , clinical examination, investigations and monitoring approach)What should be the management plan andWeek 4 – Case 1

An 80-year-old gentleman arrives at the Accident and Emergency department complaining of central abdominal and back pain for three days . A bedside ultrasound scan reveals a 7 cm abdominal aortic aneurysm. His medical history includes hypercholesterolemia, hypertension, a past myocardial infarction in 2017 with subsequent coronary angioplasty, moderate aortic valve stenosis, and a historyWeek 3 – Case 1

Patient from scenario 1 underwent OSR. Aortic wall was considerably friable necessitating prolonged inter-renal clamp for 40 minutes , blood loss was 1800ml. Revised distal end twice to land on CIA rather than the aortic bifurcation. Day 2 Postop while in ITU and while being adequately resuscitated he remains on inotropic support with a BPWeek 2 – Case 2

68ys screen detected AAA male with a past history of hypertension and prostate cancer stage 3 under hormonal treatment for 4ys with stable PSA. No other significant medical conditions.Fit and active walks 5 miles 3-times a weekAneurysm now 5.7 on CTA and it was found to be anatomically suitable for EVAR. Assume you assessed himWeek 2 – Case 1

Week 1 – Case 2 68 years old male patient, ex smoker with background of HTN CKD. He never had any cardiac symptoms. He was found to have 6.8 cm AAA on US that he has had for RUQ pain. All of his blood tests came back as normal apart for eGFR of 29. PatientWeek 1 – Case 2

Week 1 – Case 1 64 years old male patient has been referred to your vascular clinic from the spine clinic. He had MRI spine for chronic back pain which showed that he has 4.8 cm infra renal AAA. Please answer the following questions. 1- Please indicate How would you approach his history? 2- HowWeek 1 – Case 1