mesenteric ischaemia

Question 1

what is the pathophysiology?

Answer 1

1. manifestation of peripheral vascular disease
2. atherosclerosis results in poor blood supply to mesenteric organs (lungs, colon and intestine)
3. poor circulation of ischaemic vessels

Question 2

what are the symptoms of chronic mesenteric ischaemia?

Answer 2

1. severe post prandial stomach pain
2. associated nausea, vomitting or diarrhea
3. weight loss

Question 3

conservative mx

Answer 3

1. stop smoking

2. low cholesterol diet

Question 4

medical mx

Answer 4

1. antiplatelet
2. statin
3. correct hpt, hyperlipidaemia and diabetes as well as possible

Question 5

surgical mx

Answer 5

1. angioplasty +/- stenting

2. open surgery bypass

Question 6

Ix of choice

Answer 6

CT angiogram