1. Patients with Abdominal & Thoracic Aneurysms Janet Cuddigan, PhD, CWCN, CCCN Assistant Professor University of Nebraska Medical Center Omaha, NE Post Doctoral Fellow Veterans Affairs Medical Center Iowa City, IA and Omaha, NE

2. Patient 1 l 72 year old male l Had not seen a doctor in 40 years l Severe abdominal pain on 10/30/02 l Huge thoracic and abdominal aneurysm l Severely hypotensive l Life flight to medical center l Aneurysm repair

3. Head—10/31/02

4. Head—11/9/02

5. Lip—11/9/02

6. Buttocks—10/31/02

7. Buttocks—11/9/02

8. Left Heel—10/31/02

9. Left Heel—11-9-02

10. 3—10/31/02

11. Right Thigh Blister—11/9/02

12. Right Hand—11-9-02

13. Right Arm 2—11-9-02

14. Right Arm—11-9-02

15. Patient 2 AAA l 76 year old male. l History of claudication, smoking, HTN l Severe abdominal pain….after Huskers lost to ISU. l AAA repair. Hypotensive. No pulse below femoral on left post op. l Shower of clots to left foot?

16. POD 2—Left Foot

17. 4 th day post op

18. POD 2—Left Heel

19. POD 4—Left Heel

20. 4 th day post op