Table 3.3.

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

Indication		Appropriate 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.