Intestinal Ischaemia

Question 1

intestinal ischaemia

Answer 1

lack of perfusion to the gut

Question 2

types

Answer 2

acute mesenteric
chronic mesenteric
ischaemic colitis

Question 3

acute mesenteric causes

Answer 3

emboli

RF - AF

Question 4

acute mesenteric sign

Answer 4

affects small bowel 
unremarkable abdomen pain
passing stools
blood in stools
new onset of AF

Question 5

what would be seen on the biochemistry for acute mesenteric

Answer 5

metabolic acidosis

raised lactate

Question 6

investigations of acute mesenteric

Answer 6

contrast CT abdomen

Question 7

management of acute mesenteric

Answer 7

laparoscopy

Question 8

ischaemic colitis signs

Answer 8

affects large bowel
abdo pain located in watershed areas (splenic flexure)
passing stools
blood in stools

Question 9

what would be seen on the x-ray for ischaemic colitis

Answer 9

thumb-printing

Question 10

management of ischaemic colitis

Answer 10

conservative

surgery - peritonitis, ongoing haemorrhage

Question 11

chronic ischaemia causes, features management

Answer 11

atherosclerosis plaque

signs:
colicky central abdo pain

investigations:
CT angiography

management:
lifestyle
statin
surgery