Acute Mesenteric Ischaemia Flashcards
1
Q
Aetiology of acute mesenteric ischaemia?
A
- Hypercoagulable states
- Poor cardiac output
- Recent cardiac surgery
- Renal failure
2
Q
Pathology of acute mesenteric ischaemia?
A
- Arterial thromboembolism
- Trauma
- Vasculitis
In the superior mesenteric artery
3
Q
Symptoms of acute mesenteric ischaemia?
A
Acute severe abdo pain
- Central (can be RIF)
- Constant
- Rapid hypovolaemia
4
Q
Signs of acute mesenteric ischaemia?
A
- All signs of hypovolaemia if present
5
Q
Tests?
A
AxR Contrast CT Bloods - Blood gases Diagnostic laparotomy
6
Q
What is shown on the AxR in acute mesenteric ischaemia?
A
Gasless abdomen
7
Q
What does the diagnostic laparotomy reveal is acute mesenteric ischaemia?
A
Necrotised bowel
8
Q
What is a common finding of bloods in acute mesenteric ischaemia?
A
Metabolic acidosis
9
Q
Surgical management?
A
Resection of necrotised bowel
10
Q
Pharma management?
A
Thrombolytics
Control hypercoagulability
11
Q
Other management?
A
Fluids
12
Q
What’s a big complications of acute mesenteric ischaemia?
A
SIRS
- Systemic inflammatory response syndrome
Septic peritonitis
