No longer hear abdominal bruit --? AAA --? aneurysm
I have been a nurse for 14 years. Until this year, I had only worked with adults. Now I'm a school nurse. I encountered something I've not in the past. I heard what sounded like an abdominal bruit that disappeared on a child complaining of abdominal pain. Naturally I listen for bowel sounds. Right away I hear a pulsing swish in the epigastric area. I have them stand and hear the same. Had them lay supine and still hear it. I know it wasn't lung sounds and sure didn't sound like bowel sounds…it was rhythmic. I have heard bruits before and this sounded the same. My question is this, why would I no longer hear this after they ate lunch? They come back after lunch and all I could hear was bowel sounds. Can bowel sounds drown out the sound of an abdominal bruit? I would think so, especially because the aorta runs behind the stomach, bowel. But I can't find any literature that confirms this? This is driving me nuts. I hope for the child's sake I didn't truly hear a bruit but want to know I'm not crazy. Of course, I played it safe with this child but hope I've not just concerned people when I shouldn't have.