Patient Details
|
Name |
Ronald Wattle |
|
Age |
72 |
|
Sex |
M |
|
Medications |
Allopurinol 300mg PO daily Candesartan 16mg PO mane Simvastatin 40mg PO mane Targin 15/7.5mg PO BD Paracetamol 1330mg PO TDS |
|
HPC |
Mr Wattle has been referred by his GP to a local vascular surgery clinic for assessment of his abdominal aortic aneurysm (AAA). This was an incidental finding by the GP when the patient attended the practice for a regular check-up. The GP could palpate a pulsatile and expansible central abdominal mass. There didn’t appear to be any other notable findings on the vascular exam. The GP arranged an abdominal ultrasound scan which revealed a 5.7cm AAA. They have since referred the patient on to the vascular surgery clinic for further assessment and possible management. |
|
PSxHx |
Vasectomy – 30 years ago Left inguinal hernia repair – 8 years ago |
|
PMHx |
Gout Hypertension Dyslipidaemia Chronic back pain |
|
Allergies |
NKDA |
|
FHx |
Mother died from ischaemic heart disease at the age of 81 and father died of pneumonia at 78 years old. His father was also known to have an AAA but he had always been told there was no need to operate as it was too small. |
|
SHx |
Mr Wattle is a retired mechanic and lives at home in Cardiff with his wife. He is the sole carer for his wife who has Lewy body dementia. They have six adult children, four of whom live locally and are fit to offer support where needed. Mr Wattle does not drink alcohol but does smoke roughly half a pack a day. He has a 30year pack history. Mr Wattle is independent with all his ADLs and still drives. |