29 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
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... regurgitation • Chest pain ... manifestations • Chest pain ... exclude motility disorders ... #management #Gastroenterology
Aortic Dissection - Diagnosis and Management Summary
 • HPI: sudden onset, "tearing" chest pain, radiation to
tearing" chest pain ... , radiation to back ... connective tissue disorder ... FHx • Imaging: CTA ... Management #summary #treatment
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Acute Management Pain ... : Chest, Back, Abdo ... with CTA. ... Call CV Surgeon. ... #Management #treatment
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
Irritable Bowel Syndrome ... Recurrent abdominal pain ... Treatment: • Global ... - Limited trial ... #treatment
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Vasculitides 5% (PAN ... Thrombus, 1° clotting disorder ... pancreatitis) - Arterial ... Antiphospholipid syndrome ... hypovolemia), Meds/Treatments
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... bloating, abd pain ... after RYGB • Disorder ... #diagnosis #differential
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
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
(CES) is usually ... • Severe low back ... Differential Diagnosis ... Palpation - lower back ... T1 and T2 Treatment