Most aneurysms are asymptomatic and found incidentally on imaging performed for another reason. Findings in the intact, asymptomatic aneurysm: - A pulsatile mass palpable in the middle or upper abdomen, expanding laterally under the fingers - A bruit heard over the mass on auscultation - Often nothing at all, particularly in a client with a larger body habitus A palpable mass is not required for diagnosis. Obesity, abdominal guarding, bowel gas, and the aneurysm's position can make palpation unhelpful. Findings suggesting the aneurysm is symptomatic or expanding — these are concerning and require escalation: - New or changed abdominal, flank, or lower back pain, often described as deep, steady, and gnawing rather than colicky - Pain that is not relieved by position change and does not vary with movement - A sensation of abdominal fullness or early satiety - New pain in a client already known to have an aneurysm, which should be treated as expansion until proven otherwise - Distal embolic symptoms, such as new toe ischemia or acute limb ischemia A symptomatic nonruptured AAA requires urgent vascular-surgery assessment...