Abdominal aortic aneurysm

Abdominal aortic aneurysm
Abdominal aortic aneurysm

An abdominal aortic aneurysm
is when the large blood vessel that supplies blood to the abdomen,
pelvis, and legs becomes abnormally large or balloons outward.

Aneurysms develop slowly over many years and
often have no symptoms. If an aneurysm expands rapidly, tears open
(ruptured aneurysm), or blood leaks along the wall of the vessel
(aortic dissection), symptoms may develop suddenly.

The symptoms of rupture include:

  • Abdominal mass
  • Abdominal rigidity
  • Anxiety
  • Clammy skin
  • Nausea and vomiting
  • Pain in the abdomen or back — severe, sudden, persistent, or constant. The pain may radiate to groin, buttocks, or legs.
  • Pulsating sensation in the abdomen
  • Rapid heart rate when rising to a standing position
  • Shock

If the aneurysm is small and there are no
symptoms (for example, if it was discovered during a routine physical),
your doctor may recommend periodic evaluation. This usually includes a
yearly ultrasound, to see if the aneurysm is getting bigger.

Aneurysms that cause symptoms usually require surgery to prevent complications.

is recommended for patients with aneurysms bigger than 5.5 cm in
diameter and aneurysms that rapidly increase in size. The goal is to
perform surgery before complications or symptoms develop.

There are two approaches to surgery:

  • In
    a traditional (open) repair, a large cut is made in your abdomen. The
    abnormal vessel is replaced with a graft made of synthetic material,
    such as Dacron.
  • The other approach is called endovascular stent
    grafting. An endovascular stent graft is a tube made of metal mesh that
    helps support the artery. Small, hollow tubes called catheters are
    inserted through arteries in your groin. The stent graft is sent
    through a catheter, and permanently placed into the artery.
    Endovascular stent grafting can be done without making a large cut in
    your abdomen, so you may get well faster. However, not all patients
    with abdominal aortic aneurysms can have this type of surgery.

The exact cause is unknown, but risk factors for developing an aortic aneurysm include:

abdominal aortic aneurysm can develop in anyone, but is most often seen
in males over 60 who have one or more risk factors. The larger the
aneurysm, the more likely it is to rupture.

When an abdominal aortic aneurysm ruptures, it is a true medical emergency. Aortic dissection
occurs when the innermost lining of the artery tears and blood leaks
into the wall of the artery. This most commonly occurs in the aorta
within the chest.

Your doctor will examine your abdomen. The exam also will include an evaluation of pulses and sensation in your legs.

Abdominal aortic aneurysm may be diagnosed with these tests:

  • Abdominal ultrasound
  • Angiography of aorta
  • CT scan of abdomen

The outcome is usually good if an experienced
surgeon repairs the aneurysm before it ruptures. However, less than 40%
of patients survive a ruptured abdominal aneurysm.

To reduce the risk of developing aneurysms:

  • Avoid tobacco
  • Eat well
  • Exercise
  • Get regular physical exams

Men over age 65 who have ever smoked should have a screening ultrasound performed once.

Go to the emergency room or call 911 if you develop severe abdominal pain or any of theĀ other symptoms of an aneurysm.


a bit peeved

november of 2008, i have been seeing a man named rick. i met him at my previous job. originally i had taken an immediate
liking to him starting on aug. 4th. but because of rumors, i stayed away.

throughout our relationship, there has been some trying times. in december 22nd, 2008, he cried over an ex girlfriend whom
he dated back in 2001-2002. each day, she would have lunch with him at a park. she would give him books, cards and
hand written letters. by the way, he still owns them. we argued over the subject of " previous" meaning before me.
i asked him one evening on the phone if he was ever interested/ got with anyone from our job. of course he lied just to make
sure i felt special. but boy it wasnt the case. he liked several people and skirt chased. one of them he did get with intimately.
some people believe there is more to the story then what he is saying just so i am not that angered. what is worse? finding out now
or finding out beforehand? what could i have done right when we began? dump him? nope. so why did i have to find out a few months into
our relationship and a few months into my pregnancy. and then our last argument was about soul mates. he said that he doesnt believe in it because
of the ex from 2001.

my pregnancy has been awful. i’ve been stressed the entire time. one time i was cleaning his apartment and he said for me to trash one
of my notes that i wrote him. which by the way he has been doing ever since i worked at the same place as he. my memo’s and notes were trashed but skanky mcskany’s notes got to stay. does that make sense? no it doesnt. another time over at my place, he raised his voice at me for not knowing something about his sexual past. due to that, i began to cry uncontrollably. at times, i disliked sleeping next to him. when we argued, either i slept on a couch or on the floor.

we began very abnormal: we talked about trust, intimacy and romance. being around him made me always nervous. i even would get so shaky. we used to go to the park and just chat, kiss and be very intimate. i adored being in his arms. i felt loved, cherished.
when we spoke on the phone, he told me that he wanted to make love. i felt it was very soon. i wanted to take my time. i really wanted for him to respect me and to love every ounce of me. i wanted to wait about 6 months to make sure we were a okay. but that wasnt exactly the case. we fooled around during our first date.
we spoke about our past. we were invited to a club with my co workers but didnt go cuz of cash. i was invited to go to a club with my co workers but my man said nope therefore i didnt go. he has gone to 2 parties- one that is for 2 co workers that is moving to florida and the other is an A.S.U. party. the party for the future floridan’s is today. what bothers me and is the reason for this blog is cuz if i was invited to a party, i wouldve taken him. i wouldve wanted to show him off like a trophy. and with him, i havent gone anywhere where his co workers are at. if he was still with his wife, she wouldve gone. so is that fair to do towards me? nope it isnt. therefore i am peeved. i know it’s a stupid reason to be ticked but hell, if i did that to him, he wouldve been mad. therefore does two wrongs make a right? nope.

stuff like this makes me think is the relationship worth the fight?