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Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... and Bloating - Treatment ... Irritable Bowel Syndrome ... Functional Bloating • Abdomino-phrenic ... #gastroenterology
Irritable Bowel Syndrome (IBS) Treatment Algorithm

IBS-Constipation:
 • Constipation: Osmotic laxatives
 • Abdominal pain: Antispasmodics

IBS-Diarrhea:
 • Diarrhea:
Irritable Bowel Syndrome ... (IBS) Treatment ... laxatives • Abdominal ... #IBS #Treatment ... Management #Algorithm #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Chronic Abdominal ... Pain Causes - Differential ... • Budd-Chiari syndrome ... #Causes #Differential ... #Diagnosis #gastroenterology
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel Syndrome ... functional somatic syndromes ... fibromyalgia, chronic ... inflammation, Abdominal ... Management #Algorithm #gastroenterology
Causes of Chronic Pelvic Pain (> 6 months in duration) - Differential Diagnosis Algorithm
Co-morbidities:
 • Somatization
Causes of Chronic ... in duration) - Differential ... Depression/anxiety • Abdominal ... Irritable bowel syndrome ... #Pelvic #Pain #Differential
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
Short Stature - Differential ... Panhypopituitarism Treatment ... Marrow Transplant Chronic ... Chronic UTI) • ... #ShortStature #Differential
Causes of Biliary Dilatation - Differential Diagnosis
 • Physiological: ↑ Age, Cholecystectomy, Opioid dependence, Post-sphincterotomy
 •
Biliary Dilatation - Differential ... sludge), Mirizzi's syndrome ... Inflammatory: Chronic ... Dilatation #causes #differential ... diagnosis #hepatology #gastroenterology
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
Post-sinusoidal: Budd-Chiari syndrome ... to cirrhosis, Abdominal ... Classification #gastroenterology ... #diagnosis #differential
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 • Adhesions: Postoperative, Congenital,
Obstruction - Differential ... Hernia: External abdominal ... Inflammatory: Intra-abdominal ... mesenteric artery syndrome ... bowel #Causes #gastroenterology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Dyspnea - Differential ... Acute Coronary Syndrome ... Kyphoscoliosis • Abdominal ... #Dyspnea #SOB #Differential