Spinal masquerader - Abdominal aortic aneurysm

Warning

Please see list of red flags

Assessment

Signs & symptoms

  • Severe low back pain/ flank pain worse on exertion.
  • Groin or abdominal pain- band like pain.
  • Blood pressure may have started to drop.
  • Palpable pulsatile mass in abdomen.
  • Shortness of breath, dizziness.
  • Patient appears pale/ clammy.

Risk factors

  • Male over 50.
  • Hypertension/ hypercholesterolemia.
  • Current or smoking history.
  • Family history IHD.
  • Family history of AAA.

When & how to refer

Refer to local ED/vascular services dependent on presentation.

Editorial Information

Next review date: 01/10/2027

Author(s): Reid J.

Version: 01.0

Approved By: Trauma & Orthopaedics Acute Governance