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Abdominal aortic aneurysms: clinical diagnosis and management
1cates@essex1.com
Journal of Manipulative and Physiological Therapeutics
|November 5, 1997
Summary
Chiropractors can screen for aortic aneurysms (AAAs) using readily available diagnostic tools. Early detection through chiropractic screening may reduce deaths from AAA rupture.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Chiropractic Medicine
Background:
- Aortic aneurysms, particularly abdominal aortic aneurysms (AAAs), represent a significant vascular risk.
- Atherosclerosis, genetic factors, and aortic wall biochemical changes contribute to AAA development.
- The classic triad of AAA rupture symptoms is often absent, complicating early diagnosis.
Observation:
- Three cases of aneurysms diagnosed in a chiropractic setting are presented.
- Abdominal aortic aneurysms are frequently asymptomatic and discovered incidentally.
- Chiropractic offices possess accessible tools for AAA diagnosis, including history, palpation, auscultation, and imaging.
Findings:
- Surgical repair is indicated for AAAs exceeding 5 cm in diameter.
- All presented cases achieved successful recovery post-surgical intervention.
- Chiropractic screening can identify potential AAAs.
Implications:
- Chiropractors can implement simple diagnostic procedures for AAA screening.
- Early AAA detection by chiropractors may lead to a reduction in mortality rates.
- Integrating AAA screening into chiropractic practice can enhance patient outcomes.