David Serantes
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davserantes.bsky.social
David Serantes
@davserantes.bsky.social
Residente de Medicina Interna.
Parte de @cpsolvers.bsky.social
En una escala de grises, trazando un mapa.
Tendemos a mirar solo cuando fallamos. Cuando acertamos erramos de forma similar, pero no miramos. qualitysafety.bmj.com/content/26/2...
www.sensible-med.com/p/friday-ref...
February 19, 2025 at 4:27 PM
There are also signs specific of different etiologies
December 6, 2024 at 12:50 PM
- Bowel wall enhancement can be:
> ↑: halo/target sign in venous ischemia and early stages, or white pattern due to intramural hemorrhage or reperfusion
> normal (grey): intermediatte phase
> ↓ (pale) -> impending infarction

Different patterns of enhancement may occur simultaneously
December 6, 2024 at 12:46 PM
Pearls on the radiological diagnosis of acute mesenteric ischemia (AMI):
- CT angio -> Se 93% and Sp 95%. Ideally 3 phases
- Adynamic ileus can be the earliest finding
- Edematous bowel wall thickening is the most common sign (Se 85-88%), but is non-specific.
- Bowel can be thin in arterial AMI
December 6, 2024 at 12:46 PM