Mesenteric ischemia history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
The hallmark of [[mesenteric ischemia]] symptoms is '[[abdominal pain]] out of proportion to the examination findings'. A positive history of chronic cardiovascular disorder, old age and abdominal pain is suggestive of mesenteric ischemia . The most common symptoms of [[mesenteric ischemia]] include excruciating [[Abdomen|abdominal]] pain, [[Dysentery|bloody diarrhea]], and [[Nausea and vomiting|nausea]]/[[Nausea and vomiting|vomiting]]. Symptoms of chronic [[Mesenteric ischemia|mesenteric]] [[ischemia]] caused by [[atherosclerosis]] include [[Abdomen|abdominal]] pain after eating and [[diarrhea]], while that of acute [[Mesenteric ischemia|mesenteric]] | The hallmark of [[mesenteric ischemia]] symptoms is '[[abdominal pain]] out of proportion to the examination findings'. A positive history of chronic [[cardiovascular]] disorder, old age and [[abdominal pain]] is suggestive of mesenteric ischemia, unless proven otherwise. The most common symptoms of [[mesenteric ischemia]] include excruciating [[Abdomen|abdominal]] pain, [[Dysentery|bloody diarrhea]], and [[Nausea and vomiting|nausea]]/[[Nausea and vomiting|vomiting]]. Symptoms of [[chronic]] [[Mesenteric ischemia|mesenteric]] [[ischemia]] caused by [[atherosclerosis]] include [[Abdomen|abdominal]] pain after eating and [[diarrhea]], while that of [[acute]] [[Mesenteric ischemia|mesenteric]] [[ischemia]] due to an [[Embolism|embolus]] include [[diarrhea]], sudden severe [[Abdominal pain|abdominal]] pain, and [[Nausea and vomiting|vomiting]]. | ||
==History== | ==History== | ||
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{| class="wikitable" | {| class="wikitable" | ||
!align="center" style="background:#4479BA; color: #FFFFFF;" |Personal history | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Personal history | ||
!align="center" style="background:#4479BA; color: #FFFFFF;" |Medical history | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Medical history | ||
!align="center" style="background:#4479BA; color: #FFFFFF;" |Surgical history | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Surgical history | ||
!align="center" style="background:#4479BA; color: #FFFFFF;" |Family history | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Family history | ||
|- | |- | ||
| | | | ||
* History of smoking | * History of smoking | ||
* High cholesterol level | * High [[cholesterol]] level | ||
* Sedentery life style | * Sedentery life style | ||
* | * [[Hyperlipidemia (patient information)|Hyperlipidemia]] | ||
| | | | ||
* [[Coronary heart disease]] | * [[Coronary heart disease]] | ||
| Line 26: | Line 26: | ||
* [[Peripheral arterial disease|Peripheral artery disease]] | * [[Peripheral arterial disease|Peripheral artery disease]] | ||
* [[Irregular heart rhythms|Irregular]] [[Heart|cardiac]] rythm disorders | * [[Irregular heart rhythms|Irregular]] [[Heart|cardiac]] rythm disorders | ||
Such as [[atrial fibrillation]] | |||
* [[Cancer|Malignancy]] | * [[Cancer|Malignancy]] | ||
* [[Chronic liver disease]] | * [[Chronic liver disease]] | ||
| Line 35: | Line 35: | ||
| | | | ||
* Recent [[Abdomen|abdominal]] [[surgery]] | * Recent [[Abdomen|abdominal]] [[surgery]] | ||
|Family history of | |Family history of | ||
* [[Deep vein thrombosis|Deep venous thrombosis]] | * [[Deep vein thrombosis|Deep venous thrombosis]] | ||
| Line 43: | Line 42: | ||
==Symptoms== | ==Symptoms== | ||
The severity and rapidity of [[Mesentery|mesenteric]] [[Blood vessel|vessels]] [[occlusion]] determine the symptoms of [[mesenteric ischemia]]. <ref name="pmid15159262">{{cite journal |author=Oldenburg WA, Lau LL, Rodenberg TJ, Edmonds HJ, Burger CD |title=Acute mesenteric ischemia: a clinical review |journal=Arch. Intern. Med. |volume=164 |issue=10 |pages=1054-62 |year=2004 |pmid=15159262 | doi=10.1001/archinte.164.10.1054}}</ref><ref name="pmid2691119">{{cite journal |author=Font VE, Hermann RE, Longworth DL |title=Chronic mesenteric venous thrombosis: difficult diagnosis and therapy |journal=Cleveland Clinic journal of medicine |volume=56 |issue=8 |pages=823-8 |year=1989 |pmid=2691119}}</ref><ref name="Bobadilla2013">{{cite journal|last1=Bobadilla|first1=Joseph L.|title=Mesenteric Ischemia|journal=Surgical Clinics of North America|volume=93|issue=4|year=2013|pages=925–940|issn=00396109|doi=10.1016/j.suc.2013.04.002}}</ref> | * The severity and rapidity of [[Mesentery|mesenteric]] [[Blood vessel|vessels]] [[occlusion]] determine the symptoms of [[mesenteric ischemia]]. <ref name="pmid15159262">{{cite journal |author=Oldenburg WA, Lau LL, Rodenberg TJ, Edmonds HJ, Burger CD |title=Acute mesenteric ischemia: a clinical review |journal=Arch. Intern. Med. |volume=164 |issue=10 |pages=1054-62 |year=2004 |pmid=15159262 | doi=10.1001/archinte.164.10.1054}}</ref><ref name="pmid2691119">{{cite journal |author=Font VE, Hermann RE, Longworth DL |title=Chronic mesenteric venous thrombosis: difficult diagnosis and therapy |journal=Cleveland Clinic journal of medicine |volume=56 |issue=8 |pages=823-8 |year=1989 |pmid=2691119}}</ref><ref name="Bobadilla2013">{{cite journal|last1=Bobadilla|first1=Joseph L.|title=Mesenteric Ischemia|journal=Surgical Clinics of North America|volume=93|issue=4|year=2013|pages=925–940|issn=00396109|doi=10.1016/j.suc.2013.04.002}}</ref> | ||
* Systemic classification of acute and chronic [[mesenteric ischemia]] symptoms is as follows: | |||
Systemic classification of acute and chronic [[mesenteric ischemia]] symptoms is as follows: | |||
{| class="wikitable" | {| class="wikitable" | ||
! colspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Acute | ! colspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Acute mesenteric ischemia | ||
! colspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Chronic | ! colspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Chronic mesenteric ischemia | ||
|- | |- | ||
!align="center" style="background:#4479BA; color: #FFFFFF;" |General symptoms | ! align="center" style="background:#4479BA; color: #FFFFFF;" |General symptoms | ||
!align="center" style="background:#4479BA; color: #FFFFFF;" |[[Gastrointestinal tract|Gastrointestinal]] symptoms | ! align="center" style="background:#4479BA; color: #FFFFFF;" |[[Gastrointestinal tract|Gastrointestinal]] symptoms | ||
!align="center" style="background:#4479BA; color: #FFFFFF;" |Life threatening symptoms | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Life threatening symptoms | ||
!align="center" style="background:#4479BA; color: #FFFFFF;" |General symptoms | ! align="center" style="background:#4479BA; color: #FFFFFF;" |General symptoms | ||
!align="center" style="background:#4479BA; color: #FFFFFF;" |[[Gastrointestinal tract|Gastrointestinal]] symptoms | ! align="center" style="background:#4479BA; color: #FFFFFF;" |[[Gastrointestinal tract|Gastrointestinal]] symptoms | ||
|- | |- | ||
| | | | ||
| Line 76: | Line 72: | ||
* Timing, duration and frequency: | * Timing, duration and frequency: | ||
Arterial occlusion: 2-3 hours | **Arterial occlusion: 2-3 hours | ||
**Venous occlusion: 5 hours to more than 30 days | |||
Venous occlusion: 5 hours to more than 30 days | |||
* Aggravating and relieving factors: No association with meals | * Aggravating and relieving factors: No association with meals | ||
'''Other associations:''' | '''Other associations:''' | ||
Latest revision as of 20:01, 19 January 2018
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Mesenteric ischemia history and symptoms On the Web |
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Risk calculators and risk factors for Mesenteric ischemia history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]
Overview
The hallmark of mesenteric ischemia symptoms is 'abdominal pain out of proportion to the examination findings'. A positive history of chronic cardiovascular disorder, old age and abdominal pain is suggestive of mesenteric ischemia, unless proven otherwise. The most common symptoms of mesenteric ischemia include excruciating abdominal pain, bloody diarrhea, and nausea/vomiting. Symptoms of chronic mesenteric ischemia caused by atherosclerosis include abdominal pain after eating and diarrhea, while that of acute mesenteric ischemia due to an embolus include diarrhea, sudden severe abdominal pain, and vomiting.
History
Patients suffering from mesenteric ischemia may have a positive history of:[1][2]
| Personal history | Medical history | Surgical history | Family history |
|---|---|---|---|
|
Such as atrial fibrillation |
Family history of |
Symptoms
- The severity and rapidity of mesenteric vessels occlusion determine the symptoms of mesenteric ischemia. [3][4][5]
- Systemic classification of acute and chronic mesenteric ischemia symptoms is as follows:
| Acute mesenteric ischemia | Chronic mesenteric ischemia | |||
|---|---|---|---|---|
| General symptoms | Gastrointestinal symptoms | Life threatening symptoms | General symptoms | Gastrointestinal symptoms |
|
Other associations:
|
Signs of shock: |
Other associations: | |
References
- ↑ Veenstra RP, ter Steege RW, Geelkerken RH, Huisman AB, Kolkman JJ (2012). "The cardiovascular risk profile of atherosclerotic gastrointestinal ischemia is different from other vascular beds". Am J Med. 125 (4): 394–8. doi:10.1016/j.amjmed.2011.09.013. PMID 22305578.
- ↑ Sreenarasimhaiah J (2005). "Chronic mesenteric ischemia". Best Pract Res Clin Gastroenterol. 19 (2): 283–95. doi:10.1016/j.bpg.2004.11.002. PMID 15833694.
- ↑ Oldenburg WA, Lau LL, Rodenberg TJ, Edmonds HJ, Burger CD (2004). "Acute mesenteric ischemia: a clinical review". Arch. Intern. Med. 164 (10): 1054–62. doi:10.1001/archinte.164.10.1054. PMID 15159262.
- ↑ Font VE, Hermann RE, Longworth DL (1989). "Chronic mesenteric venous thrombosis: difficult diagnosis and therapy". Cleveland Clinic journal of medicine. 56 (8): 823–8. PMID 2691119.
- ↑ Bobadilla, Joseph L. (2013). "Mesenteric Ischemia". Surgical Clinics of North America. 93 (4): 925–940. doi:10.1016/j.suc.2013.04.002. ISSN 0039-6109.