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diagnosis differential gastroenterology pain pathophysiology management abdominalpain acute bloating criteria disorders distension fapd geriatrics gynecology ibs ileus irritable obgyn obstruction
Management of Abdominal Distension and Bloating - Treatment Algorithm Definitions Pathophysiology Organic/Pathologic Etiologies: • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... • Irritable Bowel ... Idiopathic Constipation ... Dyspepsia • Functional ... Bloating • Abdomino-phrenic
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm Look for surgical abdomen Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... musculoskeletal causes ... genitourinary causes ... Peritonitic • Bowel ... Gastroenteritis • Constipation
Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings Ileus: Functional bowel "blockage", no peristalsis Mechanical Obstruction:
Findings Ileus: Functional ... either acute or chronic ... • Obstipation ( ... , anorexia • Diffuse ... percussion • Nausea
Causes of Chronic Pelvic Pain (> 6 months in duration) - Differential Diagnosis Algorithm Co-morbidities: • Somatization
Causes of Chronic ... Depression/anxiety • Abdominal ... • Irritable bowel ... disease • Constipation ... #Causes #OBGyn
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Chronic Abdominal ... cholecystitis • Functional ... Ovarian CA Diffuse ... Pain: • Constipation ... • Irritable bowel
Constipation - Differential Diagnosis Algorithm Diet/Lifestyle • Fibre • Calories • Fluid • Exercise • Psychosocial Medications •
Constipation - Differential ... Diagnosis Algorithm ... Colorectal Disease • Colon ... (Inflammatory Bowel ... #Causes
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm Risk factors: Previous acute enteric infection, Female
Irritable Bowel ... Younger age, Other functional ... fibromyalgia, chronic ... inflammation, Abdominal ... , Eluxadoline Constipation
Pathogenesis of Select Causes of Constipation in Adults and in Elderly • Mechanical (ex. Bowel Obstruction,
Pathogenesis of Select Causes ... of Constipation ... involuntary bodily functions ... muscle wall of the colon ... Ability of the colon
Rome IV Criteria for diagnosing Functional Abdominal Pain Disorders (FAPD) Irritable bowel syndrome The criteria must be fulfilled
FAPD) Irritable bowel ... resolution of the constipation ... constipation, not ... periumbilical, midline or diffuse ... following: anorexia, nausea
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