ischaemic colitis/ Mesemteric Ischemia

Question 1

cause of ischemic colitis ?

Answer 1

cocaine ingestion

Question 2

Cause of mesenteric ischemia

Answer 2

atrial fibrillation - due to embolism

other causes of emboli: endocarditis, malignancy

Question 3

x

Question 4

Clinical features of mesenteric oschemia

Answer 4

Sudden onset of symptoms
Bloody diarrhea
With severe symptoms
Temperature

Question 5

Mesenteric ischemia and ischemic colitis affects which parts?

Answer 5

Mesenteric ischemia affects the small bowel

Ischemic colitis affects the large bowel - particular splenic flexure
that are located at the borders of the territory supplied by the superior and inferior mesenteric arteries.

Question 6

features if cocaine use ?

Answer 6

mydriatic pupils
appears incredibly anxious. tachycardic at 110 beats per minute with a blood pressure of 169/78 mmHg.
He is not known to be hypertensive

Question 7

features of ischemic colitis ?

Answer 7

Gradual onset not sudden
presenting with abdominal pain
or rectal bleeding
Diarrhea
Fever

Question 8

Diagnosis

Answer 8

CT for both

X ray in ischemic colitis May show thumb printing due to mucosal hemorrhage

Question 9

Max of mesenteric ischemia ?

Answer 9

Urgent surgery due to high mortality

Question 10

Mc of ischemic colitis?

Answer 10

Conservative