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No longer hear abdominal bruit --? AAA --? aneurysm
About Kids & Teens | Last Active: Oct 10, 2023 | Replies (4)Comment receiving replies
@nurse82
Welcome to Connect!
It sounds like you are a very good school nurse. You actually examine the patient properly.
Regarding your student patient it sounds very likely that a full stomach and bowel sounds could obscure a bruit. Was there a heart murmur?
Did you let the parents know what you found? It would be good for the child to be examined by their pediatrician.
Don’t beat yourself up- you are an excellent and caring nurse.
Can you let us know what the outcome is?
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Thank you for responding and to you @JustinMcClanahan. I had told the parents that day in the best way to not scare them and stressed the importance of following up, especially since I had seen him 3 times for belly pain and he hadn’t followed up with anyone the previous times. I told them that I couldn’t explain exactly why I heard it and then I didn’t but it’s better to just have him checked.
I do know that they did follow up with their PCP and they did not hear it so I don’t imagine further testing will be ordered but hopefully whatever I heard won’t be a problem for this fella. I imagine I will be seeing a lot more of this kiddo so I’m curious if I will ever hear it again. But the doctor probably thinks I’m crazy so don’t know that it’d be worth mentioning again.
You have made me feel better so that I don’t think I’m crazy. Thank you all so much.