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Ischaemic Colitis (Main Causes (Drugs e.g. oestrogen, Surgery e.g. cardiac…
Ischaemic Colitis
Main Causes
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Vasculitis e.g. SLE, sickle cell
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Treatment
Antibiotics - to reduce infection risks due to translocation of bacteria across possibly dying gut wall
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Diagnosis
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Colonoscopy and biopsy (GOLD STANDARD) - only done after patient has fully recovered to exclude stricture formation at the site of disease and confirm mucosal healing
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Epidemiology
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In young population is associated with women taking oral contraceptive pill, thrombophillia and vasculitis
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Key Facts
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Usually follows low flow in the inferior mesenteric after territory and ranges from mild ischaemia to gangrenous colitis
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