POPULARITY
In this episode I am discussing one more cause of Acute Abdomen - Mesenteric Ischemia. I have discussed about the epidemiology, etiopathogenesis, clinical features, investigations, complications and treatment of Mesenteric Ischemia.
In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the December 2024 Emergency Medicine Practice article, Diagnosis and Management of Acute Mesenteric Ischemia in the Emergency DepartmentIntroduction to Acute Mesenteric IschemiaStatistics on prevalence and mortalityPathophysiology and EtiologyMesenteric artery embolismMesenteric artery thrombosisMesenteric venous thrombosisNon-occlusive mesenteric ischemiaDiagnosisManagement and TreatmentSpecial PopulationsPediatric patientsPregnant patientsElderly patientsEmergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net
Charlie Andrews talks to Dr Anthony (Tony) Wisken, Consultant Paediatric Gastroenterologist in Bristol.The Ingest podcast is hosted by Dr Charlie Andrews a GPwER in gastroenterology based near Bath. Charlie works as a GP partner at Somer Valley Medical Group, trained as an endoscopist and leads the national GPwER in gastroenterology training programme, launched in 2023 in the southwest of England. Charlie is a committee member of the PCSG (Primary Care Society of Gastroenterology). For more information visit pcsg.org.uk Chapters (00:00:05) - INGEST(00:01:02) - Chronic abdominal pain in children(00:07:47) - Pediatric gastroenterology, pain in the tummy(00:13:13) - Reflux in children, 6 years and older(00:15:26) - Headache and abdominal pain in children, age 6(00:21:34) - Idiopathic bowel syndrome in children(00:24:51) - Tummy pain 11, constipation(00:31:08) - Mesenteric adenitis 20, Cancer(00:35:06) - Functional GI disorders, the role of ultrasound(00:38:57) - Obstructive bowel disease in teenagers(00:45:41) - Gallstones in children, anaesthesia and surgery(00:47:01) - Celiac disease, tests and how to manage it(00:49:40) - Top 3 Take Homes for kids(00:51:51) - H. Pylori in children's tummy pain(00:55:37) - 3 take home points from the abdominal pain episode
Behind the Knife es el podcast quirúrgico líder en el mundo y una plataforma de educación quirúrgica. Nuestra misión es crear contenido innovador de educación quirúrgica que sea accesible para todos. Estamos muy emocionados de expandirnos al público hispanohablante y ofrecerles 4 episodios de muestra de nuestro Curso de Repaso para el examen de certificación de Cirugía General. Hoy, escucharás un caso de muestra de este curso de repaso en audio, que incluye 100 escenarios. El curso tiene un formato emocionante y completamente único. Cada uno de los 100 caso consta de dos partes. La primera parte es un caso oral perfectamente ejecutado que imita la realidad. Cada caso tiene una duración de cinco a siete minutos e incluye una variedad de tácticas y estilos. Si logras alcanzar este nivel de desempeño en tu preparación, seguramente aprobarás el examen de certificación con éxito. La segunda parte introduce comentarios de alto rendimiento para cada escenario. Estos comentarios incluyen consejos y trucos para ayudarte a dominar los escenarios más desafiantes, además de una enseñanza práctica y fácil de entender que cubre los temas más confusos que enfrentamos como cirujanos generales. Estamos seguros de que encontrarás este enfoque único de doble formato como una forma altamente efectiva de prepararte para el examen. Nuestro contenido está disponible en nuestras aplicaciones para iOS y Android y en nuestro sitio web (behindtheknife.org). Por favor, consulta las notas del programa para más información. Nos encantaría escuchar tus comentarios sobre este episodio enviando un correo electrónico a hello@behindtheknife.org y apreciamos tu ayuda para difundir la palabra entre tus colegas si disfrutas del material. Si los comentarios son positivos, traduciremos todo nuestro curso al español. presentadores de podcast: - Auri P. Garcia Gonzalez, MD PhD nació en San Juan, Puerto Rico, y se trasladó a los Estados Unidos en el 2012 para sus estudios graduados. Actualmente, es estudiante de post-grado en cirugía general en Duke University. - Diego Schaps, MD, MPH es un residente de cirugía general en Duke y nació en Miami, en el estado de la Florida. Sus padres nacieron en El Salvador. Disclaimer: Los productos de contenido de Behind the Knife son únicamente para fines educativos. No diagnosticamos, tratamos ni ofrecemos consejos específicos para pacientes. ------ Behind the Knife is the world's leading surgical podcast and surgical education platform. Our mission is to create innovative surgical education content that is accessible to all. We are very excited to expand into the spanish audience and bring you 4 sample episodes of our General Surgery Oral Board Review Course which will be released over the course of the next week. Today, you'll hear a sample scenario from this comprehensive audio review course which includes 100 scenarios. The course has an exciting and entirely unique format. Each of the 100 scenarios includes two parts. The first part is a perfectly executed oral board scenario that mimics the real thing. Scenarios are five to seven minutes long and include a variety of tactics and styles. If you're able to achieve this level of performance in your preparation, you are sure to pass the oral exam with flying colors. The second part introduces high yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy to understand teaching that covers the most confusing topics that we face as general surgeons. We are confident you will find this unique dual format approach a highly effective way to prepare for the test. Our content is available on our iOS and Android apps and website (behindtheknife.org). Please check the show notes for more information. We would love to hear your feedback by emailing hello@behindtheknife.org and appreciate your help spreading the word to your colleagues if you enjoy the material. If feedback is positive, we will translate our entire course to Spanish. Hosts: - Auri P. Garcia Gonzalez, MD PhD was born and raised in San Juan, Puerto Rico and moved to the US in 2012 for graduate studies. At present, she is a surgical resident at Duke University. - Diego Schaps, MD, MPH is a general surgery resident at Duke and was born in Miami, Florida. His parents were born in El Salvador. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
On this month's EM Quick Hits podcast: Ian Chernoff on the often elusive diagnosis of traumatic coronary artery dissection, Anand Swaminathan on proper use of insulin in DKA and in hyperkalemia, Brit Long and Hans Rosenberg on mesenteric ischemia pearls and pitfalls in diagnosis and management, Dave Jerome on recognition and management exercise-associated hyponatremia and heat illness and Jesse McLaren on the Queen of Hearts AI model in helping identify occlusion MI on ECG... Help Support EM Cases by Giving a Donation here: https://emergencymedicinecases.com/donation/
Dr. Linda Chu discusses predictors of intestinal resection-free survival in patients with acute arterial mesenteric ischemia with Dr. Lorenzo Garzelli and Dr. Maxime Ronot. Predictors of Survival Without Intestinal Resection after First-Line Endovascular Revascularization in Patients with Acute Arterial Mesenteric Ischemia. Garzelli et al. Radiology 2024; 311(3):e230830.
In this episode, we are going to dive into the medical condition known as Chronic Mesenteric Ischemia. This is a significant health issue characterized by a reduction in the blood flow to the intestines. As a result of this diminished blood supply, individuals suffering from this condition often experience a range of symptoms, most notably abdominal pain and a loss of weight. Throughout the course of our discussion, we'll be tackling the various causes of this complex condition, exploring the different methods of diagnosis, and examining the available treatment options. We will also be placing a heavy emphasis on early intervention in order to maximize the chances of a successful treatment and recovery. Join Dr. Niket Sonpal, who will guide us through this complex medical condition. June 17, 2024 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —
In this episode, we will explore the complex and often misunderstood condition known as Acute Mesenteric Ischemia. This condition, which involves an interruption of the blood flow to the intestines, can lead to severe abdominal pain and require emergency treatment. We'll discuss the various causes, signs and symptoms, and treatment options for Acute Mesenteric Ischemia. We'll also delve into the importance of early detection and intervention in preventing serious complications. Join Dr. Niket Sonpal as he navigates us through this challenging medical condition. June 10, 2024 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —
In this episode, we review the high-yield topic of Superior Mesenteric Artery Syndrome from the Gastrointestinal section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets
Unreal Results for Physical Therapists and Athletic Trainers
In this episode of the Unreal Results Podcast, I talk about the Mesenteric Roots of the small intestines and their significance in cases of low back pain. I dive into the anatomy and function of the mesenteric root, including its relationship with the duodenal jejunal flexure and the ligament of Treitz. I also talk about the reflexive connections between the mesenteric root, blood flow, lymphatic flow, and nervous system tension. Lastly, I provides some insights to treating the Mesenteric Roots, including spinal mobilization and mobilizing the route itself with the use of soft massage tools, such as the coregeous ball.Resources mentioned:Janet Yiu's IG: https://www.instagram.com/optimizepelvichealth/IG Post on Mesenteric Roots: https://www.instagram.com/p/CyL-IcELnmtRadial breathing: https://vimeo.com/454465809/c8eb8ce5a8Visceral massage video: https://vimeo.com/manage/videos/348696597/5d7a2f4538Coregeous ball: https://www.tuneupfitness.com/?rfsn=3901938.c151c3Other episodes:Episode 15: Hard No To Hard Tool In The Gut Episode 9: Left Side Sciatica or Right Side Shoulder Pain?Considering the viscera as a source of musculoskeletal pain and dysfunction is a great way to ensure a more true whole body approach to care, however it can be a bit overwhelming on where to start, which is exactly why I created the Visceral Referral Cheat Sheet. This FREE download will help you to learn the most common visceral referral patterns affecting the musculoskeletal system. Download it at www.unrealresultspod.com=================================================Watch the podcast on YouTube and subscribe!Join the MovementREV email list to stay up to date on the Unreal Results Podcast and MovementREV education. Be social and follow me:Instagram | Facebook | Twitter | YouTube
This week, we are completing the podcast series on FEBVS exam preparations, just in time for our listeners who are taking the exam in a month. Together with Prof. Mauro Gargiulo, we will walk you through the Overall Vivas, once again, with clinical scenarios from previous exams. Enjoy, and good luck to all the future fellows! Shownotes:Take a look at those ESVS podcasts to assist you with theoretical information from cases discussed in the podcast:ESVS Podcast on Popliteal Artery AneurysmsESVS Podcast on guidelines of Carotid diseasesESVS Podcast on Mesenteric ischemia and many more
In this episode, we review the high-yield topic of Mesenteric Ischemia from the Gastrointestinal section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbull --- Send in a voice message: https://podcasters.spotify.com/pod/show/medbulletsstep1/message
There is an incredible mental/emotional toll in not being able to eat food. This week Bri and Jer have a powerful conversation with Maggie, a dedicated nurse battling Superior Mesenteric Artery Syndrome (SMAS) and relying on Total Parenteral Nutrition (TPN) for over four years. What the f*** is SMAS? Essentially, Maggie's arteries are kinky. But not the fun kind of kinky. SMAS is where the arteries kink off the small intestine, making eating a near-impossible feat. Maggie shares her poignant story of diagnosis on awareness day and the emotional toll of enduring TPN, from the relentless cravings to the isolating impact on mental health. This episode sheds light on the unseen struggles, giving a voice to those grappling with SMAS and redefining resilience in the face of adversity. Join the post-episode conversation over on Discord! https://discord.gg/expeUDN
There is an incredible mental/emotional toll in not being able to eat food. This week Bri and Jer have a powerful conversation with Maggie, a dedicated nurse battling Superior Mesenteric Artery Syndrome (SMAS) and relying on Total Parenteral Nutrition (TPN) for over four years. What the f*** is SMAS? Essentially, Maggie's arteries are kinky. But not the fun kind of kinky. SMAS is where the arteries kink off the small intestine, making eating a near-impossible feat. Maggie shares her poignant story of diagnosis on awareness day and the emotional toll of enduring TPN, from the relentless cravings to the isolating impact on mental health. This episode sheds light on the unseen struggles, giving a voice to those grappling with SMAS and redefining resilience in the face of adversity. Join the post-episode conversation over on Discord! https://discord.gg/expeUDN
To close or not to close - that is the question! Internal hernias following bariatric surgery can be a vexing source of delayed postoperative morbidity. Join Drs. Matthew Martin, Kunoor Jain-Spangler, Adrian Dan, and Vincent Cheng for this EXCELLENT Journal Review in Bariatric Surgery. Article #1: Stenberg 2023 - Long-term Safety and Efficacy of Closure of Mesenteric Defects in Laparoscopic Gastric Bypass Surgery Two mesenteric defects are created during Roux-en-Y gastric bypass (RNYGB) Petersen's Defect Jejuno-jejunostomy mesenteric defect Consensus does not exist regarding the standard of care for mesenteric defect closure (e.g., closure of one or both defects, material used for closure). Risks of leaving defects open: internal herniation with or without bowel ischemia Risks of closing defects Kinking the bowel (especially near the jejunojejunostomy) leading to obstruction Chronic abdominal pain This article discusses a randomized controlled trial of obese patients undergoing bariatric RNYGB Randomized into two groups: a closure group and a non-closure group Followed patients for 10 years with 95-96% follow up rate Results analyzed using a Cox proportional hazards regression that included risk factors like BMI, total weight loss at 1 year after surgery, and the other Highlighted outcomes Within the first 30 postop days, there was a higher rate of SBO in the closure group (1.3%) compared to the non-closure group (0.2%). This was attributed to kinking of the jejunojejunostomy After 30 postop days and up to 10 years, reoperation rates for SBO were higher in the non-closure group (14.9%) compared to the closure group (7.8%). This trend was consistent regarding each site of mesenteric defect. No significant differences between the two groups regarding chronic opioid use as a metric of chronic abdominal pain. Article #2: Nawas 2022 - The Diagnostic Accuracy of Abdominal Computed Tomography in Diagnosing Internal Herniation Following Roux-en-Y Gastric Bypass Surgery Unless there is an indication to immediately operate on a RNYGB patient in whom internal herniation is suspected, computed tomography (CT) is the recommended diagnostic test This article is a meta-analysis of 20 studies published between 2007 and 2020 that analyzed the accuracy of CT or detecting internal hernias in adult patients who underwent RNYGB for morbid obesity. A collective total of 1,637 patients were included. Accuracy was determined by comparing diagnostic CT with exploratory surgery or the combination of negative CT and a negative 90 days follow-up Internal herniation was defined as presence of herniated small bowel with or without obstruction or ischemia through a visible opening at the mesenteric defect Results Pooled sensitivity of CT was 82% and specificity was 85% Positive predictive value of CT was 83% and negative predictive value was 86% CT signs with the highest sensitivity (sensitivity of finding) Venous congestion (79%) Swirl sign (78%) Mesenteric edema (67%) 15% risk of an internal hernia even with a negative CT scan In conclusion, CT can provide useful information, but these are just additional data points to consider in the overall evaluation of a patient. Surgeons should still have a low threshold for diagnostic laparoscopy even with negative CT findings If you liked this episode, check out other bariatric episodes here: https://behindtheknife.org/podcast-category/bariatric/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices
Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices
Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices
This is the second part of the mesenteric ischemia interview with expert in the field professor Geelkerken. This podcast is solely focused on the median arcuate ligament syndrome (MALS) and whether it exists or not. We talk about aetiology, diagnostic tools & treatment and will talk about the CARoSO study.Shownotes:Metz et al; Systematic Review of the Efficacy of Treatment for Median Arcuate Ligament Syndrome. Eur J Vasc Endovasc Surg. 2022 Dec;64(6):720-732DOI: 10.1016/j.ejvs.2022.08.033Blauw et al; Coeliac Artery Release or Sham Operation in Patients Suspected of Having Median Arcuate Ligament Syndrome: The CARoSO study. Eur J Vasc Endovasc Surg. 2022 Nov;64(5):573-574DOI: 10.1016/j.ejvs.2022.07.043 Terlouw et al; The Incidence of Chronic Mesenteric Ischemia in the Well-Defined Region of a Dutch Mesenteric Ischemia Expert Center. Clin Transl Gastroenterol. 2020 Aug;11(8):e00200. DOI: 10.14309/ctg.0000000000000200Mensink et al; Gastric exercise tonometry: the key investigation in patients with suspected celiac artery compression syndrome. J Vasc Surg. 2006 Aug;44(2):277-81DOI: 10.1016/j.jvs.2006.03.038Van Petersen et al; Retroperitoneal endoscopic release in the management of celiac artery compression syndrome. J Vasc Surg. 2009 Jul;50(1):140-7DOI: 10.1016/j.jvs.2008.12.077ESVS 2017 guidelines Management of the Diseases of Mesenteric Arteries and VeinsDOI: https://doi.org/10.1016/j.ejvs.2017.01.010
The first of a 2-part interview on mesenteric ischaemia with expert in the field professor Bob Geelkerken.In this episode we talk about the different forms of mesenteric ischemia (acute, chronic, venous) and clinical challenges in diagnosis and treatment. Great to refresh or deepen your knowledge on this topic.Please also check the show notes for literature references if you are interested. Keep an eye out for the second part of the interview which is focussed completely on median arcuate ligament syndrome (MALS) - and if it exists or not..!Shownotes:Björk et al; Management of the Diseases of Mesenteric Arteries and Veins: Clinical Practice Guidelines of the European Society of Vascular Surgery (ESVS), European Journal of Vascular and Endovascular Surgery, Volume 53, Issue 4, 2017, Pages 460-510,DOI: https://doi.org/10.1016/j.ejvs.2017.01.010Terlouw et al; European guidelines on chronic mesenteric ischaemia. United European Gastroenterol J. 2020 May;8(4):371-395DOI: 10.1177/2050640620916681Huber et al; Chronic mesenteric ischemia: Clinical practice guidelines from the Society for Vascular Surgery. J Vasc Surg 2021 Jan;73(1S):87S-115SDOI: 10.1016/j.jvs.2020.10.029Bjork and Huber; Chronic Mesenteric Ischaemia, the Transatlantic Perspective. Eur J Vasc Endovasc Surg 2021 Feb;61(2):177-178DOI: 10.1016/j.ejvs.2020.12.013Van Dijk et al; Validation of a score chart to predict the risk of chronic mesenteric ischemia and development of an updated score chart. United European Gastroenterol J 2019 Nov;7(9):1261-1270DOI 10.1177/2050640619856765Vaassen et al; Intraoperative quantification of fluorescence angiography for assessment of intestinal perfusion: in vivo exploration of clinical value. BJS Open 2022 May 2;6(3):zrac058DOI: 10.1093/bjsopen/zrac058Contact the mesenteric ischemia expert group in the Medisch Spectrum Twente trough: vaatchirurgie@mst.nl
Drs. Matthew Chia and Nick Mouawad discuss the diagnosis and management of mesenteric vascular disease. Originally published on April 9, 2020. Vascular Surgery Exam Prep eBook - Mesenteric Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.
In the November episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss kidney stones as well as mesenteric ischemia. As always, you'll hear about the hot topics covered in CDEM's regular features, including monkeypox in Clinical Pediatrics, an atypical presentation of gout in Critical Cases in Orthopedics and Trauma, management of small, bleeding tongue lacerations in The Critical Procedure, a comparison of ibuprofen regimens for acute pain in the Literature Review, and an adolescent with knee pain in The Critical Image.
In this episode of our series focused on vascular surgery, host Dr. Rick Greene speaks with vascular surgeon Dr. Britt Tennessean about the clinical features and important management aspects of mesenteric and renal vascular disease. Britt H. Tonnessen, MD, FACS, is Associate Professor of Surgery, Division of Vascular Surgery & Endovascular Therapy; Associate Program Director, Vascular Integrated Residency, Yale University School of Medicine. Learn more about Selected Readings in General Surgery, an American College of Surgeons publication that highlights highly relevant and practice-changing information from the world's most prominent medical journals. #SurgicalReadings #SRGS
You get called to the ED to evaluate a patient with abdominal pain who is in extreme pain but without any helpful physical exam findings. Time is gut in mesenteric ischemia, so how do you prioritize your workup, initial treatment, and what do you do once you've made the diagnosis? In this episode of Behind the Knife, the vascular surgery team discusses all this and more by walking through a real case and talking through the principles of management as well as some helpful tips on how to actually get through these tough clinical scenarios. Dr. Bobby Beaulieu is an Assistant Professor of Vascular Surgery at the University of Michigan and the Program Director of the Integrated Vascular Surgery Residency Program as well as the Vascular Surgery Fellowship Program at the University of Michigan. Dr. Frank Davis is an Assistant Professor of Vascular Surgery at the University of Michigan. Dr. Craig Brown is a PGY-7 in the General Surgery program and recently matched 2023 vascular fellow at the University of Michigan. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. Check out our Vascular Surgery Oral Board Review Book here: https://www.amazon.com/Vascular-Surgery-Oral-Board-Review/dp/0578382296/ref=sr_1_3?crid=1IF8LX547EOEA&keywords=behind+the+knife&qid=1666184084&qu=eyJxc2MiOiIxLjM3IiwicXNhIjoiMC43MCIsInFzcCI6IjAuNTgifQ%3D%3D&sprefix=behind+the+knife%2Caps%2C57&sr=8-3&ufe=app_do%3Aamzn1.fos.f5122f16-c3e8-4386-bf32-63e904010ad0
In this episode, we review the high-yield topic of Mesenteric Ischemia from the Gastrointestinal section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
Superior mesenteric artery (SMA) syndrome is a gastrointestinal condition that occurs when the duodenum is compressed between the aorta and the superior mesenteric artery. This causes an obstruction of the duodenum, and can be significantly debilitating. In this episode, we cover the pathophysiology, presentation, management and more. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn't individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
Mesenteric adenitis is a common condition affecting children and teenagers. It is caused by the enlargement of lymph nodes in response to an infection, generally a viral one. It is quite painful and can be mistaken for appendicitis - however it is also a diagnosis of exclusion! In this episode we discuss how mesenteric adenitis presents, the aetiology, management and more! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn't individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients!)
Mesenteric adenitis is a common condition affecting children and teenagers. It is caused by the enlargement of lymph nodes in response to an infection, generally a viral one. It is quite painful and can be mistaken for appendicitis - however it is also a diagnosis of exclusion! In this episode we discuss how mesenteric adenitis presents, the aetiology, management and more! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn't individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients!)
Our oral board review course includes 92 scenarios that meticulously cover 115 SCORE core topics. Each scenario includes two parts. The first part is a perfectly executed oral board scenario that mimics the real thing. Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the oral exam with flying colors. The second part introduces high-yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy-to-understand teaching that covers the most confusing topics we face as general surgeons. We are confident you will find this unique, dual format approach a highly effective way to prepare for the test. Learn more about the Oral Board Review episodes at https://behindtheknife.org/premium/ Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
A year ago, Chelyn suddenly lost the ability to keep food down. She was constantly throwing up, losing over 20 pounds in less than 5 months. Chelyn loves food, describing it as her love language, and was utterly confused by the sudden change in her body. Seeking help initially proved […]
Contributor: Ian Gillman, PA-C Educational Pearls: Acute mesenteric ischemia is a condition where bowel loses blood supply from an acute occlusion of the mesenteric arteries A frequent sign is abdominal pain that is out of proportion to the exam Atrial fibrillation is one risk factor for mesenteric ischemia Treatment includes anticoagulation and possible surgical intervention depending on the extent of the ischemia References Monita MM, Gonzalez L. Acute Mesenteric Ischemia. [Updated 2021 Jun 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Kühn F, Schiergens TS, Klar E. Acute Mesenteric Ischemia. Visc Med. 2020;36(4):256-262. doi:10.1159/000508739 Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account. Donate to EMM today!
Lauren's website is laurencunningham.co and you can find her ebook directly here. Follow her on Instagram @laur_cunningham.Check out our new website, myimmunesystempod.com, where you can get in contact with Chelsey, listen to old episodes, learn about the RA Warrior Group, buy a signed copy of Chelsey's upcoming book, and apply to be a guest on the show.Don't forget to rate and review the show, and follow us on Instagram and Facebook @myimmunesystempod***Any information discussed in this podcast is strictly my opinion and those of my guests and are for informational purposes only. We are speaking from our personal experiences and you should always consult with your doctor or medical team.
Fred e Pedro discutem um caso do João de Dor Abdominal! Uma das principais queixas do PS! Comenta com a gente o que achou e o que ficou de fora lá nas nossas redes sociais @tadeclinicagem! Referências CARTWRIGHT, Sarah L.; KNUDSON, Mark P. Evaluation of acute abdominal pain in adults. American family physician, v. 77, n. 7, p. 971-9778, 2008. LYON, Corey; CLARK, Dwayne C. Diagnosis of acute abdominal pain in older patients. American family physician, v. 74, n. 9, p. 1537-1544, 2006. CLAIR, Daniel G.; BEACH, Jocelyn M. Mesenteric ischemia. New England Journal of Medicine, v. 374, n. 10, p. 959-968, 2016. http://getthediagnosis.org/diagnosis/Appendicitis.htm http://getthediagnosis.org/diagnosis/Cholecystitis.htm ROSS, James T.; MATTHAY, Michael A.; HARRIS, Hobart W. Secondary peritonitis: principles of diagnosis and intervention. Bmj, v. 361, 2018. SRINIVASAN, Radhika; GREENBAUM, David S. Chronic abdominal wall pain: a frequently overlooked problem: practical approach to diagnosis and management. The American journal of gastroenterology, v. 97, n. 4, p. 824-830, 2002. MANTEROLA, Carlos et al. Analgesia in patients with acute abdominal pain. Cochrane Database of Systematic Reviews, n. 3, 2007.
This episode covers mesenteric ischaemia.Written notes can be found at https://zerotofinals.com/surgery/general/mesentericischaemia/ or in the general surgery section of the Zero to Finals surgery book.The audio in the episode was expertly edited by Harry Watchman.
Contributor: Adam Barkin, MD Educational Pearls: Internal hernias, when bowel herniates through iatrogenic or congenital defect in mesentery, represent 1-6% of all small bowel obstructions Mortality of strangulated internal hernias is over 50% due to bowel necrosis and sepsis Intermittent symptoms presenting with nausea, vomiting, abdominal pain, abdominal distension Increased risk in patients with gastric bypass, liver transplant, or laparascopic surgery CT is very >90% sensitivity and specific in diagnosing SBO due to internal hernia Mesenteric swirl is a classic radiology finding Treatment with immediate surgical consultation for possible OR bowel decompression Start on broad spectrum antibiotics with any signs of sepsis References Lanzetta MM, Masserelli A, Addeo G, et al. Internal hernias: a difficult diagnostic challenge. Review of CT signs and clinical findings. Acta Biomed. 2019;90(5-S):20-37. Published 2019 Apr 24. doi:10.23750/abm.v90i5-S.8344 Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol. 2006;186(3):703-717. doi:10.2214/AJR.05.0644 Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account. Donate to EMM today!
Whether due to occlusive or nonocclusive obstruction of the arterial inflow or obstruction of venous outflow, acute mesenteric ischemia (AMI) continues to be associated with high mortality rate. Early recognition based on a high index of suspicion is critical to early diagnosis and intervention, particularly among patients presenting with pain out of proportion to physical exam findings. In this episode, we discuss the pathophysiology of AMI, together with common causes, the initial clinical presentation, and management strategies for patients with this life-threatening and elusive surgical disease process.
Listen as Dr. London Smith (.com) and his producer Cameron discuss Chronic Mesenteric Ischemia with Chronic Mesenteric Ischemia (Meredith Frank). Not so boring! https://www.patreon.com/join/jockdocpodcast Hosts: London Smith, Cameron Clark. Guest: Meredith Frank. Produced by: Dylan Walker Created by: London Smith
Listen as Dr. London Smith (.com) and his producer Cameron discuss Acute Mesenteric Ischemia with George Jar Jar Martin (Ezra Parter). Not so boring! https://www.patreon.com/join/jockdocpodcast Hosts: London Smith, Cameron Clark. Guest: Ezra Parter. Produced by: Dylan Walker Created by: London Smith
Do you believe in the Yeti? Bigfoot? Sasquatch? Those might be easier to find than mesenteric ischemia. Without CTA, good luck finding this on the abdominal exam or labs (newsflash: you won't).
Take Home Points Be sure to consider mesenteric ischemia in any elderly patient with abdominal pain or lower gastrointestinal (GI) complaints. Remember, the presentation can... The post REBEL Core Cast 45.0 – Mesenteric Ischemia appeared first on REBEL EM - Emergency Medicine Blog.
Abdominal pain in patients with hypercoagulable states could indicate mesenteric venous thrombosis. Dive into the episode to know more. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/snapmd/message
Chronic Mesenteric Ischemia could be a cause of pain after meals in patients with atherosclerosis. Dive into this short clip to know more. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/snapmd/message
Acute Mesenteric Ischemia is life-threatening and very difficult to diagnose. Dive into this short clip to know more --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/snapmd/message
We sit down with Matthew Chia and Nick Mouawad to discuss Mesenteric ischemia topics for the VSITE and boards. Script by Matthew Chia, MD Matt Chia, PGY-4 Integrated Vascular and Northwestern currently taking some time off to do 2 years of research Nick Mouawad is the Chief of Vascular and endovascular Surgery and the vice Chair of the department of surgery practicing with Mclaren bay heart and vascular in Bay City Michigan. He attended medical school at the Royal college of surgeons in Ireland followed by General Surgery Residency hospital in Ann Arbor followed by a Vascular Surgery Fellowship at the Ohio State University
Dr. Lee Kirksey, Vascular Surgeon and Vice Chairman of Vascular Surgery talks with staff vascular surgeons Dr. David Hardy and Dr. Francis Caputo about mesenteric ischemia, also called intestinal ischemic syndrome. This condition is caused by decreased blood flow to the blood vessels in the bowel. Drs. Kirksey, Hardy and Caputo talk about symptoms, diagnostic testing, and treatment options. In addition, the challenges of treatment strategies in this patient population, long term management and follow up.
Cardiac Consult: A Cleveland Clinic Podcast for Healthcare Professionals
Dr. Lee Kirksey, Vascular Surgeon and Vice Chairman of Vascular Surgery talks with staff vascular surgeons Dr. David Hardy and Dr. Francis Caputo about mesenteric ischemia, also called intestinal ischemic syndrome.
A Rapid Question-based Review of Mesenteric Ischemia & Ischemic Colitis
Mesenteric Ischemia Celiac truck supplies blood to the stomach and duodenum SMA supplies blood to the rest of the small bowel and proximal colon IMA supplies blood to the distal colon and rectum Arterial flow can be blocked because of emboli (atrial fibrillation) Venous flow can be blocked because of thrombosis (hypercoagulable states) Effective flow […]
Mesenteric Ischemia Celiac truck supplies blood to the stomach and duodenum SMA supplies blood to the rest of the small bowel and proximal colon IMA supplies blood to the distal colon and rectum Arterial flow can be blocked because of emboli (atrial fibrillation) Venous flow can be blocked because of thrombosis (hypercoagulable states) Effective flow […]
Acute mesenteric ischemia of all types is still associated with high mortality rates, despite advances in diagnostic modalities and supportive care, largely due to delay to initiate the appropriate therapy. Dr. Michael Sise joins us to discuss this relatively uncommon but challenging problem confronting the acute care surgeon. This is a comprehensive review you don’t want to miss.
08/13/2018 | High value MDCT angiography of acute superior mesenteric artery pathology
Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions: Anonymous: Dr Cabral, thank you so much for taking time to answer all of your community’s questions. My husband has a strong odor to his feet to the point where no spray, no powder can help. He wears work boots all day and does construction in Boston. He’s in the boots for probably close to 12 hours a day. We go through buying him new boots all of the time because they are honestly putrid. We have a boot warmer that is supposed to help but will knock you on your toosh if you walk in the basement. His diet is ok, could be a lot better. Exercise is basically just his work. He wants to start eating better and working out. What could be the cause of this terrible smell coming from his feet? Sincerely a wife who is tired of throwing away socks and buying expensive work boots all of the time. Maxine: Good afternoon! I am writing to confirm that the following products are vegan-- as in no animals or animal byproducts: Activated B-Complex Daily Activated Multi-Vitamin Daily Nutritional Support Shake I just really want to be sure, thank you(: Maxine Lauren: Hi, I live in NY and am greatly interested in taking the organic acid test. I know the lab you use cant be used in NY; however, I was wondering if you can recommend any other labs or if there is any other way I can get this test. Thank you! Louise: Dr. Cabral. I am very impressed with your breadth of knowledge and commend the stance you take on health and healing. It is courageous and standout individuals like you who will transform the healthcare and fitness industries for the better. My question pertains to the health of my 13 year-old daughter. Over the years, she has had four bouts of mesenteric lymphadenitis. The attacks of severe abdominal pain sometimes accompanied by vomiting seem to come on fairly suddenly and the after-effects can last weeks. She tested positive for the gluten and casein sensitivity gene, however being a teenager she has not been 100%compliant with her diet, in adition to sneaking in candy and other treats. I understand that many physicians currently consider mesenteric lymphadenitis a nondisease and its symptoms unexplained. In your functional medicine point of view, what could be contributing to her recurring issue and what can be done from a practical standpoint to end her suffering? Jennifer: Hi Dr. Cabral, My name is Jennifer, and through divine intervention I found you. In July I had a week off of work, so I completed the Cabral 7 day detox. i have never experienced a detox before, so safe to say I had no idea what I was getting into. First off, I came to realize VERY quickly that a large part of my daily routine is thinking, planning, shopping, preparing, and eating food. When you don’t eat for the first 2 days you have free time that you didn’t know you would have. I came to an understanding on how time consuming food really is in our daily lives. in stating that, when day 3 arrived I was so happy to incorporate food again.The plan was so simple and easy to follow. I thought, “ Im going to breeze through this” however, I was very wrong. I work in a salon with many many chemicals in my daily life. Not to mention the roller coaster of poor food choices in my life and what damage had built up from that. Prior to the detox I could work out endlessly and really not budge the scale at all. Weight has been a life long issue for me. So as day 3 went on my body became really weak and I didn’t have the energy I had before when it came to my workouts. My brain was starting to reel from the detoxification happening and I actually was uncomfortable in my own skin. By day 4 I felt skittish and afraid to even talk to people. I felt so terrible that I was worried I wasn’t going to make it to the end. I knew I was toxic due to a lifetime of exposure to unhealthy things, but wow! Well, day 5 came and it was like the dark cloud lifted! I felt amazing! Each day became better and better. I didn’t have a starting weight but knew about where I was. When I was done I did weigh myself and I lost probably 5-7 pounds. I continued strong on your eating plan but have wavered quite a bit in the last couple months but have continued to lose weight. My body and brain feel better than they have in a very long time. I plan to do my next 7 day detox in the next month. So thank you for your research and creation of your supplements and detox. I listen to as many of your podcasts as I can. I recommend you constantly. My first question is regarding my daughter. When she was around 7 or 8 she showed me this rash on her hands and said when her hands come in contact with any form of water this is what happens. This white raised bumpy skin was between her fingers and almost looked like blisters or skin that was going to peel. Fast forward to now, she is 18, and the rash has come and gone since then. It now covers most of her palms. When it is severe the skin pulls tight and can be painful until her hands dry out. Usually it takes about twenty to thirty minutes for her hands to completely return to normalcy. When her hands are dry, you can see remnants of whits spots on her palms. It does this in any type of water and can be severe to slight; sometimes it goes away all together. We have tried organic products as well, and that helps, but it doesn’t go away, so we think its water itself. We have only been to one doctor and they have no idea what it is. At the moment it's at a medium degree. I attached a picture, and wonder if you might know what it is or what to do. My second and final question is regaurding your weightloss blood test. I have been experiencing a steady decline in my sex drive for many years and as of now I virtually have no sex drive at all. Would that specific test measure my hormone level to see if thats whats wrong? Thank you for your time. I look forward to your advice! I tried to attach the photo of my daughters hands but it won't attach. If you would like to see a photo please just let me know where to send it and I will. Thanks again!! Jennifer Jon: Hi Stephen, was recently introduced to your podcast from the Elite Man Podcast was was impressed with your diverse knowledge, I have spent all day today listening and will continue to listen to the great advice you give. To cut straight to the point, I had blood tests done 6 months ago which showed very low testosterone and very high estrogen. After scans to confirm there were no problems with my pituitary I was put on Clompihene which worked very well for a week then my mood began to decline, next bloodwork showed my testosterone had raised slightly but my estrogen had more than doubled! I was eventually put on a HRT protocol of Sustanon 250, Anastrazole (to control estrogen) and HCG. I have been on this for 3 months now and felt very little benefit, and some areas such as libido have actually got worse! I would like to come off and try to restore natural healthy levels of hormones. At the time of my diagnosis I was working a very stressful job with long hours, suffering insomnia, training (weights and cardio) hard 6+ days a week and not eating as well as I could have. My bloods also revealed I was low in Vitamin D and Zinc but the doctors did not think this was relevant. After lots of research it does not seem surprising my hormone levels were suffering! I have since stopped the Sustanon but continued with the HCG and will switch to clompihene for 6 weeks in an attempt to restart my body's natural function before coming off all medication. I have been supplementing with Zinc, ZMA, Vit D3 and Maca Root powder for a month now. What are my chances of getting my hormones where they should be for a 27 year old active man and what is the fastest way for me to get there? Thanks again for all the great advice. You're a true asset to the healthcare profession and if there more people like you the world would be a much happier, healthier place. Many Thanks, Jon Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community’s questions! - - - Show Notes & Resources: http://StephenCabral.com/729 - - - Get Your Question Answered: http://StephenCabral.com/askcabral
This episode of CRACKCast covers Rosen’s Chapter 92 for the 8th Edition (Chapter 82 9th Edition), Small Intestine. This chapter covers the various pathologies, diagnoses and treatments of the Small Intestine. List types of mechanical bowel obstruction. What are potential etiologies of mechanical bowel obstruction? List causes of functional small bowel obstruction. List 5 lab tests useful in the dx of SBO. What findings are expected on AXR? On CT? Describe the acute management of SBO. What are the potential complications of a small bowel obstruction? List the 4 primary types of mesenteric ischemia. For each describe 4 associated factors/etiologies. Describe the classic presentation of acute mesenteric ischemia? How is mesenteric ischemia diagnosed? List 4 lab abnormalities expected in acute mesenteric ischemia. List 5 findings on AXR. What is the management approach for the different types of mesenteric ischemia? Wisecracks: 1.What is an adynamic ileus? List at least 5 causes. 2.Which patients with SBO should receive antibiotics? 3.What are the 3 arteries supplying the GI tract? Which most common culprit in acute 4.mesenteric ischemia?
This episode of CRACKCast covers Rosen’s Chapter 92 for the 8th Edition (Chapter 82 9th Edition), Small Intestine. This chapter covers the various pathologies, diagnoses and treatments of the Small Intestine. List types of mechanical bowel obstruction. What are potential etiologies of mechanical bowel obstruction? List causes of functional small bowel obstruction. List 5 lab tests useful in the dx of SBO. What findings are expected on AXR? On CT? Describe the acute management of SBO. What are the potential complications of a small bowel obstruction? List the 4 primary types of mesenteric ischemia. For each describe 4 associated factors/etiologies. Describe the classic presentation of acute mesenteric ischemia? How is mesenteric ischemia diagnosed? List 4 lab abnormalities expected in acute mesenteric ischemia. List 5 findings on AXR. What is the management approach for the different types of mesenteric ischemia? Wisecracks: 1.What is an adynamic ileus? List at least 5 causes. 2.Which patients with SBO should receive antibiotics? 3.What are the 3 arteries supplying the GI tract? Which most common culprit in acute 4.mesenteric ischemia?
WFPI Taylor, G Bowel And Mesenteric Injury- High Risk Mechanisms And CT Findings Podcast 030917 by OPENPediatrics
In this episode Susie Youn, a medical student at the University of Alberta, will discuss acute mesenteric ischemia. After listening to this episode you should be able to: Describe the pathophysiology of this condition Understand the presentation of acute mesenteric ischemia Explain the work-up Review the management of acute mesenteric ischemia
01:31:09 no Emergency Medicine NewsEmergency Medicine NewsRyan Stanton, MD, the creator of Everyday Medicine for Physicians, reviews the emergency medicine literature to report findings to make your practice easier. Each short podcast highlights the essentials you need to know. Dr. Stanton is the medical director of emergency medicine at UK Good Samaritan Hospital, an EP at UK
05/30/2016 | Imaging of Arterial and Venous Mesenteric Ischemia
This week we're covering Dr. Jacob Avila's post on ultrasound for small bowel obstruction (SBO) located at Ultrasound of the week. He has an accompanying video on 5minSono. The Bread and Butter We cover key points on SBO and Acute Mesenteric Ischemia from Rosenalli, that’s Tintinalli (7e) Chapter 86; Rosen’s (8e) Chapter 92. But, don’t just take our word for it. Go enrich your fundamental understanding yourself. As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer
In this episode Dr. Steinhart, (one of my biggest mentors – the doc that everyone turns to when no one can figure out what's going on with a patient in the ED), & Dr. Dave Dushenski, (a master of quality assurance and data analysis, who would give David Newman a run for his money), discuss the 4 diagnoses that make up the deadly & difficult diagnosis of Mesenteric Ischemia, it's key historical and physical exam features, the value of serum lactate, D-dimer & blood gas, when CT can be misleading, ED management of Mesenteric Ischemia, the difficult post-ERCP abdominal pain patient, the pitfalls in management of Pancreatitis, the BISAP score for Pancreatitis compared to the APACHE ll & Ranson Score, the comparative value of amylase and lipase, ultrasound vs CT for pancreatitis and much more… The post Episode 42: Mesenteric Ischemia and Pancreatitis appeared first on Emergency Medicine Cases.
In this episode Dr. Steinhart, (one of my biggest mentors – the doc that everyone turns to when no one can figure out what’s going on with a patient in the ED), & Dr. Dave Dushenski, (a master of quality assurance and data analysis, who would give David Newman a run for his money), discuss the 4 diagnoses that make up the deadly & difficult diagnosis of Mesenteric Ischemia, it’s key historical and physical exam features, the value of serum lactate, D-dimer & blood gas, when CT can be misleading, ED management of Mesenteric Ischemia, the difficult post-ERCP abdominal pain patient, the pitfalls in management of Pancreatitis, the BISAP score for Pancreatitis compared to the APACHE ll & Ranson Score, the comparative value of amylase and lipase, ultrasound vs CT for pancreatitis and much more… The post Episode 42: Mesenteric Ischemia and Pancreatitis appeared first on Emergency Medicine Cases.
Jon Lund continues the series on explaining the principles of operations for colorectal cancer with anterior resection. In this video podcast the underlying principles of surgery for cancer are explained, and the indications for operation, adjuvant and neoadjuvant treatment in rectal cancer are discussed. The operation is explained with the help of diagrams, as well as indications for formation of defuntioning ileostomy. This podcast will be helpful to medical students on surgical attachments and core surgical trainees (junior residents). Viewing this will help you to understand better what's going in on in a forthcoming operative video podcast of anterior resection, as well has helping in the operating theatre. If you would like to see podcasts on any particular topic, let us know by leaving a message on our Facebook page (https://www.facebook.com/surgeryschool)
07/22/2013 | Mesenteric and Renal CTA Pt. 2
07/15/2013 | Mesenteric and Renal CTA Pt. 1
Jon Lund Consultant Surgeon, Royal Derby Hospital and UNiversity of Nottingham, UK, explains the basis of left hemicolectomy for colon cancer. This video podcast should be viewed with the podcast on right hemicolectomy. It is aimed at medical students, foundation (intern) doctors and core trainees (junior residents).
Jon Lund, colorectal surgeon in DIvision of Medical Sciences, University of Nottingham, Royal Derby Hospital UK, explains in a video podcast important principles of colonic blood supply, colectomy for cancer and right hemicolectomy. Produced for medical students and core trainees (junior residents) in surgery. In association with East Midlands LETB Surgical training.
Hi guys. This is yet another Zebra diagnosis but it’s a great one for illustrating some of the relevant anatomy. Let me know what you think. Here’s the link to the article mentioned Rudinsky, Sherri L, and Michael J Matteucci. … Continue reading →
09/29/2008 | CTA of Mesenteric Vasculature: A Guide to Abdominal Pathology: Part 2
09/22/2008 | CTA of Mesenteric Vasculature: A Guide to Abdominal Pathology: Part 1
02/12/2007 | CTA of the Mesenteric Vasculature: A Guide to Abdominal Pathology
10/02/2006 | MDCT/CTA of Mesenteric Ischemia- Part 3
09/25/2006 | MDCT/CTA of Mesenteric Ischemia- Part 2
09/18/2006 | MDCT/CTA of Mesenteric Ischemia- Part 1
Mesenteric, hepatic and splanchnic extraction of C-terminal and N-terminal atrial natriuretic factor was investigated in male Sprague-Dawley rats. Plasma concentrations (mean ± S.E.M.) of C-terminal atrial natriuretic factor were 55.0 ± 6.1 fmol/ml, 31.2 ± 4.0 fmol/ml and 23.5 ± 3.3 fmol/ml (n = 12) in the abdominal aorta, the portal vein and the hepatic vein, respectively. N-terminal atrial natriuretic factor plasma levels in these vessels were 3031 ± 756 fmol/ml, 2264 ± 661 fmol/ml and 1618 ± 496 fmol/ml (n = 6), respectively. Although the mesenteric extraction ratio was higher (p < 0.05) for C-terminal atrial natriuretic factor (42% ± 6%) than for N-terminal atrial natriuretic factor (28% ± 4%), there were no significant differences in the hepatic extraction ratio (41% ± 5% vs. 39% ± 6%) and the splanchnic extraction ratio (56% ± 5% vs. 50% ± 7%). These data suggest a major role of the liver in the splanchnic extraction of C-terminal and of N-terminal atrial natriuretic factor in the rat. (HEPATOLOGY 1992;16:790-793.