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management differential hematology syndrome ibs irritable algorithm classification oncology workup ascites bariatric bilirubin bloating bypass chronic complications congenital distension encephalopathy
Management of Abdominal Distension and Bloating - Treatment Algorithm Definitions Pathophysiology Organic/Pathologic Etiologies: • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Intolerance • Celiac Disease ... • Irritable Bowel ... Dyssynergia Diagnostics ... #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary Diagnosis: • Use a positive diagnostic strategy with
Irritable Bowel ... Criteria - Recurrent abdominal ... Secretagogues → activate ... and Hepatology ... #treatment
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Diagnosis Framework ... did not yield a diagnosis ... • Irritable bowel ... • Inflammatory bowel ... #gastroenterology
Irritable Bowel Syndrome (IBS) - Management Global IBS Symptoms: - Limited trial low FODMAP diet
Irritable Bowel ... Rifaximin- up to 3 courses ... Secretagogues → activate ... and Hepatology ... #treatment
Causes of Intestinal Obstruction - Differential Diagnosis Lesions Extrinsic to the Intestinal Wall: • Adhesions: Postoperative, Congenital,
Causes of Intestinal ... - Differential Diagnosis ... Inflammatory: Crohn's disease ... #SBO #bowel #Causes ... #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary Use a positive diagnostic strategy with minimal testing.
Criteria - Recurrent abdominal ... Rule out celiac disease ... disease w/ fecal ... and Hepatology ... #workup #gastroenterology
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... auscultatory percussion, abdominal ... of underlying disease ... #hepatology
Hemophilia - Diagnosis and Management Diagnosis: • Consistent bleeding history (unless screening for disease in family members
screening for disease ... with established disease ... normal in mild cases ... Individual factor activity ... #hematology
Hepatic Encephalopathy - Diagnosis and Management Summary Definition: • Alteration in brain function manifested by neuropsychiatric symptoms
neuropsychiatric symptoms • Caused ... rule out other causes ... over course of disease ... to maintain 2-3 bowel ... #hepatology
Inherited Non-hemolytic Disorders of Hyperbilirubinemia == Disorders of Conjugation == Gilbert Syndrome: • 5-10% of the population
• Has a UGT1A1 activity ... symptoms, such as abdominal ... and stress may cause ... Congenital #bilirubin #hepatology ... #diagnosis #gastroenterology
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