Term
| which population is mainly affected by mesenteric ischemia? |
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Definition
|
|
Term
| what % of ischemia is non-gangrenous? |
|
Definition
|
|
Term
| 3 etiologies of mesenteric ischemia: |
|
Definition
1. thrombus/embolism
2. vasospasm
3. hypoperfusion (CHF/shock) |
|
|
Term
| 2 risk factors for imesenteric ischemia: |
|
Definition
|
|
Term
| presentation of acute mesenteric ischemia: |
|
Definition
| sudden onset severe, steady epigastric & periumbilical pain out of proportion to exam findings, may have hypotension, abd distension, gaurding, rebound tenderness, positive OCB |
|
|
Term
| presentation of chronic mesenteric ischemia: |
|
Definition
| presents as abd angina, with pain occuring 10-30min after eating that is releived by squatting or lying down. weight loss reported may have diarrhea |
|
|
Term
| characteristic sx of ischemic colitis: |
|
Definition
| LLQ pain/tenderness/cramping and mild sometimes bloody diarrhea |
|
|
Term
| elevated labs in acute mesenteric ischemia: |
|
Definition
|
|
Term
| what imaging studies aid in dx of ischemic bowel? |
|
Definition
| x-ray, CT, angiography, MRA, CTA |
|
|
Term
| gold standard for study for acute mesenteric ischemia: |
|
Definition
|
|
Term
|
Definition
| angiography of mesenteric ischemia |
|
|
Term
| prognosis of ischemic bowel: |
|
Definition
| fatal wo tx, acute mesenteric ischemia mortality >60% |
|
|
Term
| 4 tx for acute mesenteric ischemia: |
|
Definition
1. restore blood flow (surgery)
2. correct acidosis
3. broad spectrum abx
4. NG tube for decompression |
|
|
Term
| 4 tx for ischemic colitis: |
|
Definition
1. control BP
2. bowel rest (NPO)
3. IV fluids
4. broad spectrum abx for moderate to severe cases |
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