mescenteric ischaemia Flashcards
A triad of severe, colicky post-prandial abdominal pain, weight loss, and an abdominal bruit points towards
intestinal angina
mescenteric ischaemia typically happens where
small bowel due to embolism
ischaemic colitis typically happens where
large bowel
big rf for mescenteric ischaemia
AF
other endocariditis, malignancy, smoking HTN and DM
cocaine
features of mescenteric ischamia
abdo p - if aucte sudeen and severe out of proportion
rectal bleed
diarrhoea
fever
lactic acidosis
CT is choice
is cMI rare
yes as colicky as has non-specific features
most common cause of AMI
embolsim occluding artery either SMA or IMA
ischaemic colitis occurs where
what do you see on abdo XR
watershed areas - as at the borders of MA
see thumbprinting
Celiac trunk supplies where
hepatobiliary system, spleen, and proximal small bowel
SMA supplies where
SMA: Supplies blood to the small intestine, duodenum, and the colon up to the splenic flexure
IMA supplies where
IMA: Supplies blood to the left colon, sigmoid colon, and the proximal rectum
