 Hey guys, my name is Boris. I'm a physician assistant. This is going to be day six of our pants review series where we pick a random note card out of my thick stack of note cards that I personally use to study for the pants. And today's question is going to be imaging of choice to confirm acute mesenteric ischemia. Imaging of choice to confirm acute mesenteric ischemia. Give you a few seconds to think of an answer. Okay. The imaging of choice to confirm acute mesenteric ischemia is CTA, computed tomography with angio with contrast. CTA is going to be the imaging of choice to confirm acute mesenteric ischemia. Imaging will show thickened bowel wall and gas in the bowel wall, thickened bowel wall and gas in the bowel wall. Labs will show, I'll give you a couple seconds to think of what labs will show in acute mesenteric ischemia. What will labs show? Labs will show lactic acidosis. Lactic acidosis has a high sensitivity for mesenteric ischemia with symptoms of abdominal pain. So a patient presents acute abdominal pain, it's excruciating, labs show lactic acidosis, you got a high sensitivity for mesenteric ischemia, you got to order a CT angio to confirm and then of course do what you're going to do after that. All right guys, see you in the next pants review question video.