Ischaemic Colitis Flashcards
1
Q
who gets it?
A
the elderly and people with other vascular disease problems
2
Q
predisposing factors to vascular disease?
A
diabetes, smoking, high cholesterol etc..
3
Q
which artery is usually affected?
A
IMA
4
Q
often ___ sided disease
A
left
5
Q
what are the causes? 6
A
- CVS disease
- Atherosclerosis of mesenteric vessels
- A fib
- Shock
- Vasculitis
- Embolus
6
Q
what is the most common cause of it in younger people
A
shock - from infection
7
Q
histology: get withering of ____ and ____ of ___ ___
A
withering of crypts and smudging of lamina propria
8
Q
what is the presentation?
A
left sided abdo pain ±bloody diarrhoea
9
Q
how is it diagnosed?
A
Colonoscopy and biopsy - gold standard
Barium enema
10
Q
Barium enema shows characteristic ____ ___ of ______ swelling
A
Barium enema shows characteristic thumb printing of submucosal swelling
11
Q
what are some complications ?
A
massive bleeding, stricture, rupture
