2 Dec 2020
December 2, 2020Take Home Points
- Be sure to consider mesenteric ischemia in any elderly patient with abdominal pain or lower gastrointestinal (GI) complaints. Remember, the presentation can be tricky to find and they may have a reassuring abdominal exam.
- Ask about artherosclerotic risk factors, history of cardiovascular disease including atrial fibrillation and prior embolic events, and a history of intestinal angina to help clue you in to the diagnosis.
- Lab abnormalities could include leukocytosis, lactemia or elevated d-dimer. But normal labs cannot exclude this disease.
- The money is in the CTA. Get it as fast as possible because time is bowel.
- Consult your surgeons and interventional radiologists eary, because again TIME IS BOWEL