Hello, med students.

My name is Zach Olson, and thank you for downloading this week's episode of the EM

Clerkship Podcast.

So we've covered kidney stones and a critical diagnosis, kidney stone mimic of testicular and

ovarian torsion. And remember, the big takeaway that we're

going for here, same as last week, kidney stones are a diagnosis of exclusion. That is by far the

most important thing I can teach you. Kidney stones are like constipation with abdominal pain and anxiety

with chest pain. they are a diagnosis of

exclusion in emergency medicine. Because this week, our patient, let's say they don't have a simple

kidney stone. But when they come in and they're having that severe colicky flank pain,

it's actually a leaking abdominal aortic aneurysm. And it's going to look exactly

the same as a kidney stone. Flank pain, lower abdominal pain, testicular pain. It's all sudden

an onset, some mild hematuria on the urinalysis, vomiting, you can just tell that they're hurting,

they're in distress, and it's

a AAA. And you're attending once this on your differential. And so today, critical diagnosis

we're going to cover the leaking abdominal aortic aneurysm. Five things we're going to cover today.

History, exam, testing plan testing plan treatment plan and then some

just bonus pearls first history obviously not every disease reads the textbook and

abdominal aortic aneurism is the same. But generally

speaking, you're looking for patients over the age of 60 and their smokers, in their vascular

disease types, and they present in kind of one of two ways.

Option A, the first presentation.

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