Identifying & Diagnosing Abdominal Aortic Aneurysm
Patient: A 63 year old male patient presented to the ER with peripheral artery embolization (blue toe syndrome of lower limbs).
Initial Examination: He had a history of well controlled hypertension and long standing smoking. An echocardiogram was requested to exclude cardiac causes of embolization.
Kosmos POCUS Examination: Bedside cardiac examination with Kosmos was grossly normal. However, from the subcostal window a large abdominal aorta aneurysm with thrombus was found. This finding was later confirmed with CT.
Subcostal view with the TORSO 1 probe (cardiac settings) revealed a large abdominal aneurysm with thrombus
Same view with the TORSO 1 probe (abdominal settings) showing a large abdominal aneurysm with thrombus in long axis
Color Doppler imaging on the aneurysm (TORSO 1 probe – abdominal settings) demonstrating pulsatile flow
Short axis view of the abdominal aneurysm (TORSO 1 probe – abdominal settings) with large circumferential mural thrombus in it