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how to differentiate
acute mesenteric ischemia from colonic ischemia....risk factorts/ phys exam/ symptoms and ttt -mgement?
thank you
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ACUTE COLONIC ISCHEMIA-------------- ACUTE MESENTERIC ISCHEMIA (small bowel )
-90 percent of patients > 60 Age ------------ -varies with etiology of ischemia.
-Acute precipitating cause is rare ------------ -Acute precipitating cause is typical.
-Patients do not appear severely ill------------ Patients appear severely ill
-Mild abdo pain,tenderness + ------ Pain usually severe,tenderness not prominent early.
- Rectal bleeding, bloody diarrhea typical ---------- Bleeding uncommon until very late.
-Colonoscopy is procedure of choice -------------Angiography indicated.
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this is great dr herry...when r u palnning to take the xam? or alrady done GL for this