Abdominal aortic aneurysms | Circulatory System and Disease | NCLEX-RN | Khan Academy

แชร์
ฝัง
  • เผยแพร่เมื่อ 19 พ.ย. 2024

ความคิดเห็น • 94

  • @louismanuel8179
    @louismanuel8179 8 ปีที่แล้ว +19

    This is a great presentation on the many factors that causes Aneurysm in the aorta...brilliant, simply brilliant.

  • @aprilewesley9041
    @aprilewesley9041 9 ปีที่แล้ว +15

    I am a 34 year old female, non smoker, non drinker, optimal blood pressure and blood work, very active and very conscious about my diet. I have been diagnosed with an aortic aneurysm. No one in my family has it....I guess I am just an exception to all the rules. I would often get pain in my abdomen which I thought was a heartburn (but not really)....more like I had a rock sitting in my belly or something. It was found during a physical examination. The Dr felt it and auscultated. I am going for an ultrasound to determine the size and the thickness of the walls in the aneurysm. Just wanted to share.

    • @AimForTheBushes908
      @AimForTheBushes908 9 ปีที่แล้ว +5

      April Wesley I'm sorry to hear, I too am around the same age and have been feeling slight symptoms like yours. Going to the doctor to see what's up. Keep us updated on what happens, God bless, and good luck.

    • @sqwidink1
      @sqwidink1 9 ปีที่แล้ว +2

      April Wesley very sorry to hear that :(

    • @suhailanaz
      @suhailanaz 7 ปีที่แล้ว

      I'm sorry to hear that. Would you like to share what happened?

    • @johannesschluter1769
      @johannesschluter1769 7 ปีที่แล้ว

      the symptoms that you describe are really not those of an aneuvrysme

    • @peggyt1243
      @peggyt1243 7 ปีที่แล้ว +1

      April: your posting is from 2 years ago. I hope everything has turned out well for you.

  • @VickiBee
    @VickiBee 10 ปีที่แล้ว +2

    Our Paramedic Instructor did this for our Continuing Education a while ago. Then we had a patient who had a dissecting aortic aneurysm at both ends: the stomach and the heart. He had no possibility of living with two of them and both having symptoms, according to the coroner.
    He succumbed to the one in the chest because blood started pouring into the pericardial sac and he died from cardiac tamponade.
    It's deadly serious, these aortic aneurysms. The time factor of getting them into surgery with a surgeon already there is crucial.
    I'm glad a doctor's doing it here.

    • @Jkstolz
      @Jkstolz 7 ปีที่แล้ว

      Vicki Bee I went to see a doctor. But it turned out it was a nurse practitioner . She told me my abdominal aorta was wide.. She was Palpating it for a longer time, and I told her at times it pushes back on my hand very hard and gets wider than that by 3 times. She said don't worry about it. You're young.

    • @Sphinxgamingworld9942
      @Sphinxgamingworld9942 ปีที่แล้ว

      @@Jkstolz how are you now?

  • @petertomlin5990
    @petertomlin5990 6 ปีที่แล้ว +5

    Even though I am a survivor of an emergency EVAR I found this very interesting,Just the endoleaks i worry about.

  • @charlesaustin1102
    @charlesaustin1102 3 ปีที่แล้ว +4

    Excellent video and presentation. Increased my knowledge immensely. Thank you for a great video.

  • @suprateekat5338
    @suprateekat5338 8 ปีที่แล้ว +8

    Also, the branching of the renal arteries can cause increased turbulence and therefore increased blood pressure , which can put pressure on the infrarenal arteries .

    • @mahmoudessam8844
      @mahmoudessam8844 5 ปีที่แล้ว

      th-cam.com/video/i0jm9Ulc8Ho/w-d-xo.html

  • @autumnohrin413
    @autumnohrin413 4 ปีที่แล้ว +10

    Im in my last semester of nursing school and we have been told by our instructor to NEVER palpate an AAA. I'm curious why the first "diagnostic tool" this video uses is to "feel for abdominal pulse" we have been told that is a HUGE no no.

    • @mojicapragacha6196
      @mojicapragacha6196 ปีที่แล้ว

      pulsating in abdomen is not always the symptoms mam ? Cause im having pulsating in my abdomen too and im really worried ..tnx mam ..

    • @nathanhanson5324
      @nathanhanson5324 8 หลายเดือนก่อน

      Just a guess but if it's severely dilated and you palpate (and you would have to apply lots of pressure to feel it since it's pretty deep), you could potentially cause a rupture.

  • @billykimball1614
    @billykimball1614 2 ปีที่แล้ว +1

    Thank you for the wonderful video. I am a survivor of AAA that ruptured July 15th of 2020 it had grown 9.6 cm I was on the operating table for 10 hours and eight pints of blood back in me thank the good Lord and the doctors for saving my life.

    • @Sphinxgamingworld9942
      @Sphinxgamingworld9942 ปีที่แล้ว

      Did you have a pulsating stomach? I currently have a pulsating stomach that won't stop.

    • @billykimball1614
      @billykimball1614 ปีที่แล้ว +1

      @@Sphinxgamingworld9942 no I didn't Willy. What has happened to me that I thought had happened. Was I thought my appendix had ruptured or something. I had major pain on the lower right side of my stomach. I was real sweaty and had felt like I had nine million needles going into me. Also I got real light-headed and threw up my dinner. But no pulsing. After throwing up I felt better but then I called for an ambulance just to make sure. The ride to the hospital is about 70 MI and I don't remember the ride.

    • @mojicapragacha6196
      @mojicapragacha6196 ปีที่แล้ว

      @@billykimball1614 tnx to ur explanation sir ..cuz im having a pulsating in my abdomen too and im really worried about it ..

  • @IM.MEDICAL
    @IM.MEDICAL 6 ปีที่แล้ว +2

    Thanks for this video! Just FYI - Screening Guidelines are also very high-yield for the USMLE STEP exams. Good luck everyone!

  • @Broscience_Today
    @Broscience_Today 6 ปีที่แล้ว +1

    Hi my Name is David Gonzalez (34) four years ago I was diagnosed with aortic aneurysm and I had a open heart surgery to place at the aorta a galvanic tube prosthesis, like April Wesley i did not have any issue , it was suddenly, after surgery I was diagnosed with Marfan Syndrome, My height is 6,3 and my weight is 117 kg

  • @samarthverma828
    @samarthverma828 3 ปีที่แล้ว

    Just one word for this...PERFECT....!!

  • @emrej2527
    @emrej2527 3 ปีที่แล้ว +1

    Great presentation. Khan academy is so great

  • @lindachew4184
    @lindachew4184 3 ปีที่แล้ว +1

    so wonderful
    thank you

  • @GFINHK
    @GFINHK 8 ปีที่แล้ว +2

    Brilliantly presented. Thank you.

  • @mariebayer2511
    @mariebayer2511 2 ปีที่แล้ว

    Great presentation. Thank you very much

  • @ricardozavaletaflores7491
    @ricardozavaletaflores7491 7 ปีที่แล้ว +1

    Good video, thanks Khan Academy

  • @waadmuataz690
    @waadmuataz690 5 ปีที่แล้ว +2

    This is wonderfully presented thank you!
    P.S: Your voice sounds exactly like Johnny of NCT

  • @ShutFaceup
    @ShutFaceup 7 ปีที่แล้ว +1

    Aneurysms have been shown to be driven by inflammatory processes.... not atherosclerosis. Atherosclerosis affects small arteries e.g. coronary arteries. The natural history of atherosclerosis is build up of plaque, smooth muscle cell proliferation and eventual occlusion of the artery. While aortic aneurysm are caused by inflammatory processes and are more common in large elastic arteries such as the aorta. The natural history is progressive dilatation (loss of elastic and smooth muscle cell death), and eventual rupture (not narrowing by atherosclerosis).

  • @angelajsacaartistaffiliatedwpl
    @angelajsacaartistaffiliatedwpl 2 ปีที่แล้ว

    🙌🙌thx very informative.

  • @tripandfall2379
    @tripandfall2379 9 ปีที่แล้ว +1

    Very informative, well simplified.

  • @Oldspartan65
    @Oldspartan65 2 ปีที่แล้ว +1

    I just found out I have three of them still waiting to see a surgeon yep I’m as good as dead

  • @anca4ever414
    @anca4ever414 6 ปีที่แล้ว +1

    Love ur videos, much appreciated

  • @mama.deej.2024
    @mama.deej.2024 3 ปีที่แล้ว

    Thank you!!! 🙏

  • @beamypops
    @beamypops 3 ปีที่แล้ว

    @khanacademy Thank you for making learning easier. So does this mean that a true aneurysm can become false when it ruptures?

  • @VickiBee
    @VickiBee 10 ปีที่แล้ว

    I was sure that the coroner said drinking heavily could have caused problems for this guy who died from it. But now I'm not completely sure exactly what she said. She did say drinking excessively could have contributed to his death but his alcohol test came back at 0 percent. So she ruled that out as a factor.

  • @Divya736
    @Divya736 7 ปีที่แล้ว

    Great video! Thank you!

  • @nikalobjanidze5302
    @nikalobjanidze5302 4 ปีที่แล้ว

    Thank you💟

  • @robertvanetten1154
    @robertvanetten1154 11 หลายเดือนก่อน

    Ive got one

  • @premiereventsmn9100
    @premiereventsmn9100 2 ปีที่แล้ว

    My husband has all three criteria. 66 and a smoker for 50 years. He is currently waiting for surgery as this was accidentally found due to extreme lower back pain that prevented him from walking. He had a E-coli infection that affected his kidneys and blood. He ended up with an abscess in his lower back that needed draining. He also had an Upper GI bleed where he had an stomach ulcer that needed to be clipped. He is finishing up 6 weeks of IV antibiotics to clear up the infection, then surgery will be scheduled. It has been a long road as he was hospitalized for 24 days. All due to smoking for 50 years. He has not smoked since all this started occurring and has no yearnings to start again. It is so bad and sad that people have to learn the hard way of what smoking can do to a person.

    • @sharonkasper5126
      @sharonkasper5126 ปีที่แล้ว

      My heart goes out to you husbands wife. A hard road to experience before correcting our mistakes. Prayers go out to you.

  • @lonwabomyoli6761
    @lonwabomyoli6761 3 ปีที่แล้ว

    Hayi niyayititsha mani....

  • @farahizakholitiza9990
    @farahizakholitiza9990 5 ปีที่แล้ว +1

    great explanation . thank you so much , and your voice is so littt !! :P

  • @GohannDota
    @GohannDota 4 ปีที่แล้ว

    Tnx

  • @fdreloprern
    @fdreloprern 9 ปีที่แล้ว +1

    So helpful. Thank you.

  • @nellyhoffman6194
    @nellyhoffman6194 8 ปีที่แล้ว

    Thank you Doctor

  • @kellyclarkson2439
    @kellyclarkson2439 3 ปีที่แล้ว +1

    My Dad has just being diagnosed with a 3.1cm AAA

  • @bloomprinceton
    @bloomprinceton 8 ปีที่แล้ว

    omg thank youuuu

  • @manarrrrrrrrrr
    @manarrrrrrrrrr ปีที่แล้ว

    Luv u

  • @edwardluth7740
    @edwardluth7740 2 ปีที่แล้ว

    If you have a rupture your chances are not very good. So go to the hospital if you notice anything unusual in this region of the body such as pain or nausea combinations or as he said that pulse feeling and think how the heart pumps and then a pulse! Pulse! Pulse! You know what I mean. And I suggest anyone age 65 or 70 who has a long history of cholesterol issues or starting to develop heart problems or diabetes should definitely go in once a year. An ultrasound can detect an aneurysm or CT. So it’s nothing painful or unusual. Just simple tests. So wouldn’t you want to live another 10-15 years if you are 65? How about 7-10 years if you are 70? And what if you are 88? Yes frail elderly have had this grafting done and then lived several more years to age 92 or even older! Unless your heart is bad and your ejection fraction is only 15 or 25% then I would probably say maybe we’d better not do this and just enjoy the remaining months or a year or two we have left. That’s the individuals decision then and the family if they are involved. I always try to think of loved ones and if the risk is not real high then do something as we all want to live providing our quality of life is at least maintained and we enjoy seeing our loved ones. Even if you can’t get around good anymore you can still think and talk to people and watch TV or read. That’s worth something isn’t it?

  • @nanakwameparey4129
    @nanakwameparey4129 4 ปีที่แล้ว +2

    I like your sarcasm on risk factors on males
    “males are 5x more likely than females, just being males” 😂😂😂😂

  • @its_evelynoseji
    @its_evelynoseji 7 ปีที่แล้ว

    Please
    Why may immediate medical treatment be necessary and what is a suitable long term surgical treatment.
    and what symptoms might a sufferer experience as a first warning... And please can you help suggest 2-3 possible factors adding to the risk of an aortic aneurysm in the first place.

    • @djdougster
      @djdougster 6 ปีที่แล้ว

      Evelyn Oseji I

  • @leavonbradshaw5203
    @leavonbradshaw5203 ปีที่แล้ว

    1 of my wife family just 58 years and he in the hospital with 1 he not doing well he had emergency surgery

  • @krishnendudas2154
    @krishnendudas2154 3 ปีที่แล้ว +1

    My father died in the ventilation after the double open surgeries of abdominal aortic aneurysm and bypass together in India.

    • @militheserialchiller604
      @militheserialchiller604 3 ปีที่แล้ว

      I’m so sorry. lost my dad yesterday too due to aortic dissection.

    • @krishnendudas2154
      @krishnendudas2154 3 ปีที่แล้ว +1

      @@militheserialchiller604 Sorry for your loss . May his soul rest in heaven . My father whom I loved the most passed away more than a year back. But he appears daily in my mind . Did your father undergo open surgery ?

    • @militheserialchiller604
      @militheserialchiller604 3 ปีที่แล้ว

      @@krishnendudas2154 no he passed away before he could be operated on. Apparently his condition had severed while he was still getting diagnosed. He was legit the only human I was the closest to. He died while he was in immense pain. Wish I could get him treated earlier.

    • @krishnendudas2154
      @krishnendudas2154 3 ปีที่แล้ว

      @@militheserialchiller604 Which country are you from, madam !
      Can you please tell me about the size of aneurysm ??
      Why did you delay the operation ???

    • @militheserialchiller604
      @militheserialchiller604 3 ปีที่แล้ว

      @@krishnendudas2154 from India , sir. I don’t know it’s size. Appeared to be growing from some time but since it was asymptomatic we could not diagnose it. :( so it all started from a clot in his femoral artery and spread to other parts of the body. We rushed him to the hospital , Ganga ram in delhi where there was a team of 5-6 specialist and it took them 4 hours to diagnose the actual problem. There was so much delay in time due to the diagnosis , while he was about to enter the ot, his heart expanded his mitral valve completely torn and he passed away on the spot. I’m sorry for the long message. It all seems like a nightmare that would end soon and I would see my father again:’( he was doctor himself.

  • @kennethdarnell24
    @kennethdarnell24 2 ปีที่แล้ว

    I have one but can't get anyone to fix it because of this covid stuff going on. Can I get you to fix it?

  • @marievandermerwe3160
    @marievandermerwe3160 ปีที่แล้ว

    My husband passed away on 2nd February 2023 after a six hour operation

  • @rexlv2011
    @rexlv2011 9 ปีที่แล้ว +1

    to 3:16

  • @ramonamata9930
    @ramonamata9930 2 ปีที่แล้ว

    Is a 2.7 triple A bad

  • @donnarobinson3747
    @donnarobinson3747 6 ปีที่แล้ว

    I have a heart aneurysm

  • @Juno_Beach
    @Juno_Beach 5 ปีที่แล้ว

    oh my word ... I'm still alive !!

  • @kateritekawidtha6465
    @kateritekawidtha6465 6 ปีที่แล้ว +2

    What if Dr's keep ignoring your symptoms? I have been having major PAIN for the past 18 months now.
    It is excruciating pain and I live in Canada and I am of Native descent.I have been in and out of the hospital emergency room like a revolving door and still am in alot of pain in my back and right flank both front and back and now my right foot is in pain as well.I feel very neglected because of me being of Native descent.
    Who can I report these Drs too and WHERE do I TURN for HELP because I am STILL in a great deal of PAIN even as I type this.
    I live in Canada British Columbia near the city of Williams Lake British Columbia.I am beginning to get scared because I have been in so much pain for too long. Please help me.

    • @waadmuataz690
      @waadmuataz690 5 ปีที่แล้ว

      Kateri Tekawidthá I don't really know how things are in Canada but can't you go to a doctor in another province ?

    • @mahmoudessam8844
      @mahmoudessam8844 5 ปีที่แล้ว

      th-cam.com/video/i0jm9Ulc8Ho/w-d-xo.html

    • @betterworldok3802
      @betterworldok3802 4 ปีที่แล้ว

      How bad are this medical institutions?

  • @robertvanetten1154
    @robertvanetten1154 11 หลายเดือนก่อน

    Dont smoke

  • @고먐미-i7k
    @고먐미-i7k 4 ปีที่แล้ว

    omgg

  • @VickiBee
    @VickiBee 10 ปีที่แล้ว

    Yeah well...I guess females are more in danger of having gallbladder problems. They used to call it the 4F's; meaning female, forty, fat and flatulent. Which btw don't need to be present all four at once. The doctor explaining it said one or more is present in cholecystitis. That's how they taught it to him in the 70's when he first started practicing.

  • @josselynfigueroa3393
    @josselynfigueroa3393 5 ปีที่แล้ว

    spanish??????? :(

  • @JamCanGurl
    @JamCanGurl 10 ปีที่แล้ว

    Extra bad :)

  • @ionesnow5992
    @ionesnow5992 8 ปีที่แล้ว +2

    Thanks.Very helpful.

  • @tlongusa
    @tlongusa 3 ปีที่แล้ว

    Thank you 🙏