Shared Flashcard Set

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Gastrointestinal
Ischemic Bowel
14
Medical
Graduate
01/21/2010

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Cards

Term
What is the most common form of mesenteric ischemia?
Definition
Ischemic colitis
Term
What population group is most often affected by ischemic colitis?
Definition
Elderly
Term
Mesenteric ischemia is caused by a reduction in intestinal blood flow, which most commonly arises from what?
Definition
Occlusion, vasospasm, and/or hypoperfusion of the mesenteric vasculature
Term
Lowflow mesenteric ischemia is associated w/ what?
Definition
CHF or shock
Term
what are risk factors for ischemic bowel dz?
Definition
>45yo and CVD
Term
Differentiate b/t abd pain in acute vs. chronic mesenteric ischemia.
Definition
AMI - sudden onset severe abd pain. CMI - abd angina w/ pain 10-30min /p eating relieved by squatting or sitting.
Term
Is wt loss expected w/ acute or chronic mesenteric ischemia?
Definition
chronic
Term
What are the characteristic sx of ischemic colitis?
Definition
LLQ pain and tenderness, abd cramping, and mild (sometimes bloody) diarrhea
Term
Lactic acidosis is supportive of what dx?
Definition
acute mesenteric ischemia
Term
What test is the gold standard for acute arterial ischemia? What does it show?
Definition
Mesenteric angiography. Pruned tree appearance
Term
Name 4 complications of mesenteric ischemia.
Definition
Perforation, stricture, gangrene, and sepsis
Term
What is the mortality rate of acute mesenteric ischemia?
Definition
60%
Term
What is the tx for mesenteric ischemia?
Definition
Immediate surgical referral
Term
`What is the tx for ischemic colitis?
Definition
Blood pressure maintenance, bowel rest, and IVF
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