Bowel ischaemia Flashcards
1
Q
What are the 3 types of bowel ischaemia?
A
- Acute mesenteric ischaemia
- Chronic mesenteric ischaemia
- Ischaemic colitis
2
Q
how does ischaemic colitis present?
A
transient pain
bloody diarrhoea
3
Q
What area is affected in ischaemic colitis?
A
large bowel esp. splenic flexure
4
Q
What is seen on imaging in ischaemic colitis?
A
thumbprinting due to oedema and haemorrhage
5
Q
What is rx of IC?
A
supportive unless surgery indicated (perforation, haemorrhage, peritonitis)
6
Q
What area is affected in ACUTE MESENTERIC ischaemia? what causes it
A
small bowel
usually embolism causing occlusion of an artery
7
Q
How does AMI present?
A
sudden severe pain out of keeping with exam findings PR bleed diarrhoea fever raised WBC and lactic acidosis
8
Q
How is MI diagnosed?
A
CT
9
Q
What is chronic MI also referred to as?
A
intestinal angina
10
Q
What is a common feature in the history of someone with acute MI?
A
AF
