loss AND YOU may hear the story of “FOOD FEAR” ( Pat comes with chronic abdominal pain right after meal/ u recall angina pain that like pain with exertion) Dx; CBC/leukocytosis, Lactic/or metabolic ACIDOSIS, Amylase UP. [usmleforum.com]

A second patient with Takayasu’s presented with a 4-month history of abdominal pain, a 50-pound weight loss, stenosis of all major mesenteric arteries, and bowel pneumatosis. [mdedge.com]

These blood clots in the small intestine and bowels can lead to: Weight loss Pain with eating Fear of food Left untreated over time, blockages can decrease blood flow so much that the tissues in your intestines die. [upmc.com]

WEIGHT LOSS CHRONIC mesenteric ischemia sometimes leads you to lose weight because, although you may feel hungry, you eat less or less frequently to avoid the pain. [vascular.org]

All patients presented hypoventilation, arterial hypotension, oliguria and,from a biological standpoint, metabolic acidosis and leucocytosis. Superior mesenteric artery angiography was the investigation method of choice. [ncbi.nlm.nih.gov]

CONCLUSION: The RDW on admission is of marginal help to diagnose AMI among patients with abdominal pain. [ncbi.nlm.nih.gov]

We present the case of an 84-year-old woman who presented to our emergency department complaining of an acute worsening of pre-existing abdominal periumbilical pain, nausea, vomiting, and diarrhea. [ncbi.nlm.nih.gov]

Arterial emboli typically originate from a cardiac source. 1,2 Case Report A male in his fifth decade presented with acute abdominal pain, vomiting, and diarrhea. [acgcasereports.gi.org]

Pancreatitis Portal hypertension/cirrhosis Medications Vasopressor medications Beta-blockers Digoxin Diuretics Clinical signs and symptoms Severe abdominal pain out of proportion to physical exam Pain initially of a visceral nature and poorly localized Nausea Vomiting [learningradiology.com]

SMA/Celiac axis/IMA Acute: -Thrombosis/Emboli/ HypOtension/ Shock / time vasoconstriction ( vasospasm) venous block from thrombosis -On exam, pat pain out proportion ( hematochezia &/OR melena ) Chronic: History of atherosclerotic - As usual Nausea/vomiting [usmleforum.com]

Anorexia, nausea, vomiting, diarrhea, and hematochezia are common. Unfortunately, the clinical manifestations of AMI overlap with other, more common clinical entities, such as bowel obstruction, pancreatitis, diverticulitis, and peritonitis. [radiologykey.com]

We present the case of an 84-year-old woman who presented to our emergency department complaining of an acute worsening of pre-existing abdominal periumbilical pain, nausea, vomiting, and diarrhea. [ncbi.nlm.nih.gov]

ISCHEMIC COLITIS You see pat L side abdominal pain with BLOODY DIARRHEA/[Note: in mild cases pat usually have blooding diarrhea but no abdominal pain] (due to mucosal or mural infarction) as u know MC site splenic flexure and rectum most commonly spared [usmleforum.com]

Arterial emboli typically originate from a cardiac source. 1,2 Case Report A male in his fifth decade presented with acute abdominal pain, vomiting, and diarrhea. [acgcasereports.gi.org]

[…] hypertension/cirrhosis Medications Vasopressor medications Beta-blockers Digoxin Diuretics Clinical signs and symptoms Severe abdominal pain out of proportion to physical exam Pain initially of a visceral nature and poorly localized Nausea Vomiting Diarrhea [learningradiology.com]

Anorexia, nausea, vomiting, diarrhea, and hematochezia are common. Unfortunately, the clinical manifestations of AMI overlap with other, more common clinical entities, such as bowel obstruction, pancreatitis, diverticulitis, and peritonitis. [radiologykey.com]

We present the case of an 84-year-old woman who presented to our emergency department complaining of an acute worsening of pre-existing abdominal periumbilical pain, nausea, vomiting, and diarrhea. [ncbi.nlm.nih.gov]

Pancreatitis Portal hypertension/cirrhosis Medications Vasopressor medications Beta-blockers Digoxin Diuretics Clinical signs and symptoms Severe abdominal pain out of proportion to physical exam Pain initially of a visceral nature and poorly localized Nausea [learningradiology.com]

[…] injury -SMA/Celiac axis/IMA Acute: -Thrombosis/Emboli/ HypOtension/ Shock / time vasoconstriction ( vasospasm) venous block from thrombosis -On exam, pat pain out proportion ( hematochezia &/OR melena ) Chronic: History of atherosclerotic - As usual Nausea [usmleforum.com]

Anorexia, nausea, vomiting, diarrhea, and hematochezia are common. Unfortunately, the clinical manifestations of AMI overlap with other, more common clinical entities, such as bowel obstruction, pancreatitis, diverticulitis, and peritonitis. [radiologykey.com]

You have given both patients IV pain and nausea medication, but their pain has continued. You order a CT angiography for both. [epmonthly.com]

The diagnosis of mesenteric ischemia should be considered in patients of any age presenting with recurrent or severe abdominal pain, particularly when no alternative cause is apparent. [ncbi.nlm.nih.gov]

abdominal pain out of proportion to physical exam Pain initially of a visceral nature and poorly localized Nausea Vomiting Diarrhea GI bleeding may be present Imaging Plain abdominal radiographs (abnormal in 20-60% of cases) Thumbprinting Non-specific [learningradiology.com]

Mesenteric ischemia must be considered in any patient 50 with known risk factors or predisposing conditions who develops sudden, severe abdominal pain. [merckmanuals.com]

Echocardiography showed enlargement of the aortic root and mitral valve prolapse. Abdominal computed tomography scan revealed acute mesenteric ischemia due to abdominal aortic dissection. [ncbi.nlm.nih.gov]

Dehydration due to bloody ascites or third space fluid loss causes hypotension. This vicious cycle causes further clot propagation with worsening bowel edema leading to increased arterial ischemia. This finally leads to intestinal infarction. [indjvascsurg.org]

Bloody ascites and large fluid losses with third-spacing may occur, leading to dehydration and hypotension, causing further propagation of the venous thrombosis and worsening of the mesenteric ischemia. [jamanetwork.com]