11 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Distension and ... Gastric Outlet Obstruction ... • Ascites • ... Intestinal Pseudo obstruction ... #Distension #Bloating
Systemic Lupus Erythematosus: Gastrointestinal Manifestations
 - Thrombosis of vessels in the pancreas, Vasculitis -> Acute Pancreatitis
Enteropathy -> Ascites ... Intestinal Pseudo-Obstruction ... : Abdominal pain ... , bloating, distension
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Abdominal Distention ... Differential Diagnostic Algorithm ... Ascites Bowel ... Causes Mechanical Obstruction ... #Diagnosis #Algorithm
Small Bowel Obstruction on Abdominal POCUS
Pt has abdominal pain, distension and vomiting. POCUS confirms the Dx:
Small Bowel Obstruction ... on Abdominal POCUS ... pain, distension ... SBO #SmallBowel #Obstruction ... #Abdominal #POCUS
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Tachyarrhythmia Airway Obstruction ... Kyphoscoliosis • Abdominal ... Distention Pulmonary ... Differential #Diagnosis #Algorithm
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Symptoms: cough, abdominal ... distension, wheeze ... , abdominal bloating ... peripheral edema, ascites ... identificaton of obstructive
Chronic Abdominal Pain - Differential Diagnosis Algorithm
Constant / Chronic-Fleeting / Post-Prandial
Upper Quadrant:
 • Peptic ulcer disease
Chronic Abdominal ... Differential Diagnosis Algorithm ... cancer • Liver distention ... location/diffuse: • Ascites ... Differential #Diagnosis #Algorithm
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... Perforation on POCUS ... perforation and obstruction ... to look for the abdominal ... #Perforation #POCUS
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
Small Bowel Obstruction ... POCUS This patient ... SBO #SmallBowel #Obstruction ... #Ascites #POCUS ... #Abdominal #clinical
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
on POCUS 62 yo ... with abd pain + distention ... POCUS performed ... #POCUS #SBP #clinical ... #ultrasound #abdominal