Table 3.3

Evaluation for Mesenteric Artery Stenosis—Potential Signs and/or Symptoms

IndicationAppropriate Use Score (1–9)
Symptomatic
47.
  • Evaluate for acute abdominal pain “out of proportion to exam”

  • Leukocytosis, “thumbprinting,” pneumatosis or hemoconcentration, and acidosis with or without elevated amylase, alkaline phosphatase, or CPK

I (3)
48.
  • Postprandial pain or weight loss not otherwise explained

  • GI evaluation previously completed

A (8)
49.
  • Postprandial pain or discomfort

  • GI evaluation not yet undertaken

U (5)
50.
  • Chronic constipation or diarrhea

  • GI evaluation not yet undertaken

I (3)
51.
  • Unexplained or unintended weight loss

U (5)
52.
  • Abdominal or epigastric bruit

U (4)

A = appropriate; CPK = creatine phosphokinase; GI = gastrointestinal; I = inappropriate; U = uncertain.