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Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral Fellow Veterans Affairs Medical Center Iowa City, IA and Omaha, NE

Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

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Page 1: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Patients with Abdominal & Thoracic Aneurysms

Janet Cuddigan, PhD, CWCN, CCCNAssistant Professor

University of Nebraska Medical CenterOmaha, NE

Post Doctoral FellowVeterans Affairs Medical Center

Iowa City, IA and Omaha, NE

Page 2: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Patient 1

72 year old male Had not seen a doctor in 40 years Severe abdominal pain on 10/30/02 Huge thoracic and abdominal aneurysm Severely hypotensive Life flight to medical center Aneurysm repair

Page 3: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Head—10/31/02

Page 4: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Head—11/9/02

Page 5: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Lip—11/9/02

Page 6: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Buttocks—10/31/02

Page 7: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Buttocks—11/9/02

Page 8: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Left Heel—10/31/02

Page 9: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Left Heel—11-9-02

Page 10: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

3—10/31/02

Page 11: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Right Thigh Blister—11/9/02

Page 12: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Right Hand—11-9-02

Page 13: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Right Arm 2—11-9-02

Page 14: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Right Arm—11-9-02

Page 15: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

Patient 2 AAA

76 year old male. History of claudication, smoking, HTN Severe abdominal pain….after Huskers

lost to ISU. AAA repair. Hypotensive. No pulse

below femoral on left post op. Shower of clots to left foot?

Page 16: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

POD 2—Left Foot

Page 17: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

4th day post op

Page 18: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

POD 2—Left Heel

Page 19: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

POD 4—Left Heel

Page 20: Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral

4th day post op