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<h2><strong>Title:</strong> <a href="https://umem.org/educational_pearls/4667/">A new scale to aid in diagnosing AAA?</a></h2>
<p><strong>Category:</strong> <a href="https://umem.org/educational_pearls/?category=1">Cardiology</a></p>
<p><strong>Keywords:</strong> Aaa <a href="http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&term=Aaa+%22last+5+years%22[dp]&db=pubmed&pubmedfilters=true" target="_blank">(PubMed Search)<i class="icon-share" title="Opens in new window"></i></a> </p>
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<strong>Posted:</strong> 12/7/2024 by <a href="https://umem.org/educational_pearls/?author=2561">Robert Flint, MD</a>
<br/>
<a href="https://umem.org/profiles/faculty/2561/">Click here to contact Robert Flint, MD</a>
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<p>This study tried to expand upon what they describe as the classic triad of signs to diagnose ruptured AAA “(1) abdominal pain, (2) hypotension and (3) a pulsatile abdominal mass”. They tested these against the _modified abdominal aortic aneurysm rupture signs. “_The MARS-signs encompassed (1) the registered pain-associated symptoms or signs, (2) all hypovolemic associated signs, and (3) pulsatile abdominal mass and/or ultrasound finding”. The MARS did slightly better in identifying ruptured AAA retrospectively. For me, this doesn’t add a great deal of help in making this can’t miss diagnosis and further work is necessary.</p>
<h3>References</h3>
<p>Bergmark, P., Sadeghi, M., Talvitie, M. _et al._Initial signs in patients with ruptured abdominal aortic aneurysms: time for an expanded triad?.<em>Scand J Trauma Resusc Emerg Med</em> <strong>32</strong>, 94 (2024). <a href="https://doi.org/10.1186/s13049-024-01268-0">https://doi.org/10.1186/s13049-024-01268-0</a></p>
<h3>View this pearl on the University of Maryland, Department of Emergency Medicine's website: <a href="https://umem.org/educational_pearls/4667/">https://umem.org/educational_pearls/4667/</a></h3>
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