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Educational draft · awaiting clinical reviewUse Rapid for revision, not patient-care decisions. Check current national and local guidance and the BNF or BNFC before acting.
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Abdominal aortic aneurysm risk and screening

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Synopsis

Recognise abdominal aortic aneurysm risk, apply England screening eligibility, and route incidental diagnostic findings safely.

  • England invites men during the screening year in which they turn 65.
  • Men older than 65 who were never screened may self-refer to their local programme.
  • Screening ultrasound records maximum anterior-posterior diameter inner wall to inner wall.

Key red flags

Symptomatic presentation

New abdominal or back pain, collapse or loss of consciousness requires immediate emergency assessment rather than screening.

Investigation priorities

01
Screening abdominal ultrasoundFirst step

Measure the infrarenal aorta without radiation or contrast

Management branches

Screening routeRoutine invitation and result

An eligible man reaches the England screening cohort

  1. Offer informed choice and perform the single programme ultrasound appointment.
  2. Record maximum AP inner-to-inner measurements in longitudinal and transverse planes.
Diagnostic routeRisk-based clinical assessment

The person is outside routine screening but AAA is clinically suspected

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Sources and review status5 sources · checked 12 Sept 2026 · clinical review pending
Sources

Sources and review status

National guidance is shown before implementation-dependent detail. Apply principles in context and verify current guidance when a decision affects care. Source check completed 12 Sept 2026; clinical approval remains outstanding.

Authoring stateRapid draftClinical stateAwaiting reviewJurisdictionUnited Kingdom