Intestinal angina Flashcards
what 3 conditions can ischaemia of the lower GI tract cause
acute mesenteric ischaemia
chronic mesenteric ischaemia
ischaemic colitis
what is the most common cause of intestinal angina
atherosclerotic disease on arteries supplying the GI tract
list 3 risk factors for bowel ischaemia
increasing age
AF
cardiovascular risk e.g. HTN, smoking, diabetes
cocaine (ischaemic colitis seen in young patients)
if a young patient came in to hospital with symptoms indicating ischaemia of the bowel, what would most likely be the cause
cocaine use
what is the traid of symptoms that would indicate intestinal angina
severe colicky abdo pain post prandial
abdominal bruit
weight loss
list 5 symptoms of intestinal angina
severe colicky abdo pain post prandial nausea and vomting weight loss rectal bleeding fever bloods: elevated WCC associated with lactic acidosis
how do you diagnose intestinal angina
CT scan
what is the typical cause of acute mesenteric ischaemia
emboli occluding the artery supplying the small bowel
what do patient with acute mesenteric ischaemia usually have a history of
AF
how is acute mesenteric ischaemia usually managed
urgent surgery
how would you describe ischaemic colitis
- transient compromise of blood flow to large bowel
- emboli occluding the artery supplying the small bowel
- transient compromise of blood flow to large bowel
what 3 complications may arise from ischaemic colitis
inflammation
ulceration
haemorrhage
what sign would be seen on an abdo x ray in a patient with ischaemic colitis
thumbprinting sign
how is ischaemic colitis usually managed q
supportive management
