the aneurysm itself does not hurt.
its the active dissection of the aneurysm that causes the pain.
I had thought as much, and am thankful for that clarification. So then, I guess the only real way to know presence of aneurysm (before dissection) is through appropriate scans, or as BADMD states, if pressure is exerted onto another structure, in a possible case of an AAA.
BADMD,
1. I would never intentionally quote anyone out of context. As for the Doctor I had quoted in my gunshot paper, I have edited their name out. I had originally done so, and should have left it as it was. They were happy to share their expertise with me when I wrote the paper, but you're right, permission should come with public display.
2. I hope you don't mind, I changed my words to yours, quoted, in the thread you're referring to. Getting the information correct was/is my main goal. I would think that even if there was a significant aneurysm in pulmonary-region vessels, to where pressure was exerting on a near structure, that the pain or discomfort wouldn't be temporary (although I suppose it could be intermittent, to some degree, depending on position, but it would probably not just 'go away'). Then again, I believe according to your words, that doesn't really happen too often in that area (maybe if at all).
3. I acknowledge that and will continue to study and learn to the best of my abilities. I've always been one to skip through the algebra on my way to the calculus, and going over all points will be one of my greater challenges in beginning my practice of clinical assessment. I was reminded in watching a new PT working with one of my patients yesterday, he was showing him how to properly transfer from his bed into his power chair (scooting down the bed and then simply sliding over into the chair). It would never have occurred to me that he would transfer any other way (I'm not there when he wakes or retires), and it was a good reminder to never assume any details.
Thanks for the information and advice.
