26 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
• Prior GEJ surgery ... Fundoplication, Bariatric surgery ... obstruction (CIPO) Disorders ... Irritable Bowel Syndrome ... #gastroenterology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
with chest/abd/back ... Connective tissue disorder ... • Cardiac surgery ... catheterization • Thoracic ... deficit • Shock Treatment
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... Non-neuromuscular disorder ... pulmonary etc) • CNS ... • Inflammatory disorders ... myopathies, the muscular
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Pain: Chest, Back ... with CTA. ... Call CV Surgeon. ... #Management #treatment ... #aorta #vascular
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
- Differential Diagnosis ... Mediastinal mass, Left atrial ... regurgitation of fluids • Muscular ... → EGD Treatment ... #Management #gastroenterology
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
other neurological disorders ... positive in 2/3 of pts ... limb or joint disorders ... Treatment: • ... #Management #treatment
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... Before antireflux surgery ... exclude motility disorders ... - Antireflux surgery ... #management #Gastroenterology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... a gas exchange disorder ... ) on room air Treatment ... hepatopulmonary #syndrome ... #treatment #hepatology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... deficiencies) Dumping Syndrome ... after RYGB • Disorder ... #diagnosis #differential
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
an autoimmune disorder ... myasthenia Diagnosis ... - Bedside: ice pack ... Imaging - CT Chest ... Drugs, infection, surgery