Case challenge · Vascular surgery / Emergency / Critical care · teaching

Ruptured Abdominal Aortic Aneurysm — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on IMPROVE / Merck

Case #1Vascular surgery / Emergency / Critical care

📋 Case data

Hemodynamically stable?Relatively stable

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Hemodynamically stable?

Is the patient hemodynamically stable?

💡 Ruptured abdominal aortic aneurysm (infrarenal ≥3 cm), triad = hypotension + flank/back pain + pulsatile abdominal mass (all three present in only 25–50%); abdominal/back/flank/groin pain is most common; often misdiagnosed as renal colic/diverticulitis/GI bleed. >50% present with rupture as the first event, untreated mortality >80%. Strongly suspect in anyone >50 with acute abdominal/flank pain + hypotension.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.