Medical history (history of illness) represents an important component in the diagnosis of aneurysm.
Family history
- What is the general health of your family members?
- Are there any diseases in your family that are common?
- Are there any hereditary diseases (connective tissue diseases) in your family?
Social history
- What is your profession?
Current medical history/systemic history (somatic and psychological complaints).
- What symptoms have you noticed?
- Do you suffer from abdominal pain* ? Pain in the back, chest* ?
- Do you suffer from headaches?
- How long has the pain existed?
- Has the pain occurred quite acutely?*
- Have you noticed any other symptoms such as visual, hearing, paralysis or sensory disturbances? You these acutely occurred?*
- Do you suffer from acute shortness of breath?*
- Have you noticed palpitations?*
Vegetative anamnesis incl. nutritional anamnesis.
- Do you smoke? If yes, how many cigarettes, cigars or pipes per day?
- Do you drink alcohol more often? If yes, what drink(s) and how many glasses of it per day?
- Do you use drugs? If yes, which drugs and how often per day or per week?
Self history incl. medication history.
- Pre-existing conditions (hypertension, genetic connective tissue disease, cardiovascular disease).
- Operations
- Radiotherapy
- Allergies
Medication history
- Antiasthmatic medication (beta-2 sympathomimetics or glucocorticoids) (OR=1.46).
- Quinolones/fluoroquinolones/gyrase inhibitors (ciprofloxacin, moxifloxacin, nalidixic acid, norfloxacin, lomefloxacin, levofloxacin, ofloxacin) – If prescribed within the past 60 days, increase relative risk of aortic aneurysm or dissection by a factor of 2.43. Note: It may be the infection that carries the risk of aortic aneurysm and not treatment with quinolones: fluoroquinolones were not associated with increased AA/AD risk compared with combined amoxicillin-clavulanate or combined ampicillin–sulbactam (OR, 1.01; 95% CI, 0.82-1.24) or with extended-spectrum cephalosporins (OR, 0.88; 95% CI) 0.70-1.11) in patients with indicated infections.
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Data without guarantee)
