Talk:Mesenteric ischemia

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Possible error[edit]

A reader wrote to the Foundation with the following observations:

Issue: Under the "Signs and Symptoms" section of Mesenteric Ischemia, the first 8 lines describing "three progressive phases" refer to a different medical condition, ischemic colitis. The Article on Ischemic colitis, has this same exact information. Something is wrong about this. It may be just the condition name in the Mesenteric Ischemia article, or maybe the entire section "Signs and Symptoms" is incorrect, I don't know which. I have pasted below the "Signs and Symptoms" section from both articles, highlighting the wording that is exactly the same, and bolding the incorrect condition named in the Mesenteric Ischemia article. Thank you for your attention to this matter. This is from: Article : Mesenteric_Ischemia http://en.wikipedia.org/wiki/Mesenteric_ischemia

Signs and symptoms[edit]

Three progressive phases of ischemic colitis have been described:[5][6]

A hyper active stage occurs first, in which the primary symptoms are severe abdominal pain and the passage of bloody stools. Many patients get better and do not progress beyond this phase.

A paralytic phase can follow if ischemia continues; in this phase, the abdominal pain becomes more widespread, the belly becomes more tender to the touch, and bowelmotility decreases, resulting in abdominal bloating, no further bloody stools, and absent bowel sounds on exam.

Finally, a shock phase can develop as fluids start to leak through the damaged colon lining. This can result in shock and metabolic acidosis with dehydration, low blood pressure, rapid heart rate, and confusion. Patients who progress to this phase are often critically ill and require intensive care.

This is from: Article: Ischemic Colitis http://en.wikipedia.org/wiki/Ischemic_colitis

Signs and symptoms[edit]

Three progressive phases of ischemic colitis have been described:[9][10]

A hyperactive phase occurs first, in which the primary symptoms are severe abdominal pain and the passage of bloody stools. Many patients get better and do not progress beyond this phase.

A paralytic phase can follow if ischemia continues; in this phase, the abdominal pain becomes more widespread, the belly becomes more tender to the touch, and bowelmotility decreases, resulting in abdominal bloating, no further bloody stools, and absent bowel sounds on exam.

Finally, a shock phase can develop as fluids start to leak through the damaged colon lining. This can result in shock and metabolic acidosis with dehydration, low blood pressure, rapid heart rate, and confusion. Patients who progress to this phase are often critically ill and require intensive care.

Symptoms of ischemic colitis vary depending on the severity of the ischemia. The most common early signs of ischemic colitis include abdominal pain(often left-sided), with mild to moderate amounts of rectal bleeding.[11] The sensitivity of findings among 73 patients were:[12]

abdominal pain (78%) lower digestive bleeding (62%) diarrhea (38%) Fever higher than 38°C (34%) (38°C equals approximately 100.4°F)

Physical examination[12]

abdominal pain (77%) abdominal tenderness (21%)

I am not a subject matter expert; I will invite the reader to join this discussion in case there are any questions.--S Philbrick(Talk) 00:26, 21 April 2014 (UTC)