bowel ischaemia

Question 1

types of bowel ischaemia

Answer 1

acute mesenteric ischaemia
chronic mesenteric ischaemia - intestinal angina, colicky pain
ischaemic colitis

Question 2

bowel ischaemia - features

Answer 2

pain
bleeding, diarrhoea
fever
raised WCC + lactic acidosis

Question 3

bowel ischaemia - investigations

Answer 3

CT

Question 4

acute mesenteric ischaemia - management

Answer 4

urgent surgery

poor prognosis

Question 5

ischaemic colitis - what is it? features? on imaging?

Answer 5

acute but transient compromise in blood flow to large bowel

may cause inflammation, ulceration + haemorrhage

common in splenic flexure

thumbprinting on AXR due to mucosal oedema/haemorrhage

Question 6

ischaemic colitis - management

Answer 6

supportive

surgery if fails or if generalised peritonitis, perf or ongoing haemorrhage