All right, welcome. My name is Divine. This is episode 651 of the Divine Intervention Podcasts.

And to this podcast, we're going to be continuing the rapid review series for step two and step three.

Okay, so today we're going to be continuing the rapid review series for step two and step three.

Again, a lot of very important things to be discussed today. All right. So let's jump right into it. So what if they give you a question about, and I'm going to be making quite a number of kind of strange integrations today. So I'd keep this in mind, right? So I want to focus on a lot of, you know, you'll see what I mean as I go. So what if they give you a question about an old guy, right, and he has like very severe abdominal pain, right? He's a smoker and they tell you that you feel a pulsatow lower abdominal mass, right? What should you be thinking about? Well, I really hope you're saying that, oh, divine, this sounds a lot like a ruptured AAA, right? This sounds an awful lot like a ruptured triple A. So this person has a ruptured

abdominal aortic aneurysm, right? And remember, triple A's typically, typically they're going to

arise below the renal arteries, right? I think that's one of those kind of high-ealth things you want

to make sure you know for your exams, right? They typically arise below the renal arteries. They typically arise below the renal arteries, right? And again, what's the biggest risk

factor for an abdominal leotic aneurysm? Well, the biggest risk factor is going to be smoking,

right? Smoking is the biggest risk factor for abdominal eotic aneurysm, right? And one thing

you'll notice on the USMLA exams and this is something you should

certainly look up is that sometimes when a person has a triple a that is ruptured or about

to rupture they may show you something called the dripped a other sign on imaging right the

drip the other sign on imaging right so what does that mean well the thing is typically when a person has the drip the odor sign is something you see typically on a CT scan, right? But you'll notice that, that the posterior wall of the odor, right? The posterior wall of the odor, like the margins are very indistinct, right? Very indistinct, right?

It's almost like the aorta, the posterior yotter,

is draping over the walls of the vertebra.

Because remember, the vertebra come behind

or they're very closely associated with a yotter.

So that's something I certainly know for exams if I were you, right?

So the drape the yotter sign is one of these things. It's old-timer, old school, but it's pretty I certainly know for exams if I were you right so the drip the order sign is one of these things is old timer old school but it's pretty high yield to know for

your exams right and remember people that have a rupture triple a they're going to be

hemidamically unstable they're going to have flank pain they're going to have back pain right

because again remember the triple a the abdominal a odor is retroperitoneal, right?

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