Acute mesenteric ischaemia and ischaemic colitis Flashcards
Where does acute mesenteric ischaemic normally affect?
Small bowel
What are the features of acute mesenteric ischaemia?
Suden onset severe pain- out of proportion with physical signs
Diarrhoea, fever
Bowel obstruction
Who is acute mesenteric ischaemia seen in?
Those with AF, atherosclerosis, PCV etc
Generally unwell people
How is acute mesenteric ischaemic clinically diagnosed?
Soft but tender abdomen
History of CVD
High lactate
What investigations are done for acute mesenteric ischaemia?
FBC
Lactate
CT angio
What is the management of acute mesenteric ischaemia?
Young= surgery
Old, cormorbid= palliate
What is ischaemic colitis?
Acute but transient compromise in blood flow to colon
Where is commonly affected in ischaemic colitis?
Splenic flexure
What causes ischaemic colitis?
HAemodynamic instability
Thromboembolism
Complication of AAA repair
What is the presentation of ischaemic colitis?
Abdo pain
Lower GI bleeding
Diarrhoea
How is ischaemic colitis managed?
Surgery if fit
Supportive
