12 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... • Prior GEJ surgery ... Fundoplication, Bariatric surgery ... • Irritable Bowel ... Syndrome • Chronic
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
(<72 hours) - Differential ... Diagnostic Algorithm ... musculoskeletal causes ... genitourinary causes ... syndrome #Diffuse
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Algorithm for the ... Causes of acute ... Previous gastric surgery ... imaging with barium, CT ... workup #diagnosis #differential
Causes of Chronic Pelvic Pain (> 6 months in duration) - Differential Diagnosis Algorithm
Co-morbidities:
 • Somatization
Causes of Chronic ... Diagnosis Algorithm ... Depression/anxiety • Abdominal ... syndrome • Inflammatory ... bowel disease
Stool Incontinence - Differential Diagnosis Algorithm
Affected Pelvic Floor 
 - Trauma/Surgery
   • Surgery: Anorectal,
Incontinence - Differential ... Diagnosis Algorithm ... • Surgery: ... Syndrome • ... #Causes
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
Short Stature - Differential ... Diagnosis Algorithm ... Panhypopituitarism Treatment ... Anorexia Nervosa • CNS ... endocrinology #causes
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
- Differential ... Ascites Bowel ... Dilatation Other Causes ... Intestinal Ogilvie's Syndrome ... • Trauma/Surgery
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... bolus to the small bowel ... Gastric bypass causes ... gastroenterology #diagnosis #differential
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 ... disturbance • Bladder, bowel ... - Emergency Causes ... axial T1 and T2 Treatment ... #differential #
Localized Acute Abdominal Pain(<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac, pulmonary,
Localized Acute Abdominal ... Diagnostic Algorithm ... musculoskeletal causes ... genitourinary causes ... syndrome • Psoas