Dr. Roshin responde as perguntas dos leitores

Dr. Roshin responde as perguntas dos leitores
05 janeiro 10:07 2017 Imprimir

dr_roshin“My uncel was told has aneurism and doc said it was gud find b/c he cud hav died.  How cum doctors never said he had it befoe.”  (Plz, no use my nam)

Dear Anonymous,

Although we were not able to communicate in depth, you mentioned in that your uncle was 57 years old, has high blood pressure, and smokes for at least twenty years.   The combination of hypertension and smoking greatly elevates the risk for abdominal aortic aneurysms.  An aneurysm is the bulging or ballooning of a weakened blood vessel that upon bursting, often is fatal.  Why does an aneurysm form?  The blood vessel weakens, then bulges, due to any condition that blocks or prevents the flow of blood such as hypertension, atherosclerosis, and or plaque formation.  Aneurysms can occur in any blood vessel; however, the brain vasculature and aorta are typically the most common sites.

The United States Preventative Task Force recommends that a man, between the age of 65-75 should be screened for a potential aneurysm using abdominal ultrasound.  Ultrasound is advantageous since no radiation or contrast agent is used, and the cost is lower as compared to other imaging techniques.

Nonetheless, since your uncle is 57 years old, he may not have been screened yet for an aneurysm.   On physical exam, a doctor looks for specific signs and symptoms of a possible developing aneurysm, and upon examination and questioning of the patient, if these findings are found, immediate steps are taken to confirm an aneurysm.  Depending on the size of the aneurysm, treatment options are subsequently provided.

I am glad we talked on a chance visit, and I hope my explanation helps you to understand your family’s medical scenario.  A new year provides the opportunity for your uncle to seek the procedure necessary to treat his aneurysm with the goal of celebrating many more New Years in the future.

Thank you for your question and trust.

 

Respectfully,

Dr. Roshin  

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