15 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Bowel Overgrowth (SIBO ... Gastroparesis • Chronic Gastric ... Dyssynergia Diagnostics ... #Diagnosis #Algorithm
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
• Chills • Abdominal ... pain Diagnosis ... stain/culture Management ... #Peritonitis #SBP ... #Diagnosis #Hepatology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Diagnosis Framework ... did not yield a diagnosis ... AMI • PUD • Gastric ... intolerance • SIBO ... painAbdominal
Dilated Stomach on POCUS

This coronal plane view of the stomach can be helpful in the setting
Dilated Stomach on POCUS ... setting of an SBO ... (for diagnosis ... Dilated #Stomach #Gastric ... #POCUS #abdominal
Small Bowel Obstruction (SBO) on POCUS

A patient came into our ED with abdominal pain... within 5
Bowel Obstruction (SBO ... into our ED with abdominal ... pain... within ... hitting the door a diagnosis ... #Obstruction #SBO
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
malabsorption (d/t reduced gastric ... CP, SOB, lightheadedness ... GI - glossitis (pain ... of tongue), abd pain ... #management #nutrition
Dilated Fluid-filled Stomach on Gastric POCUS

Abd pain+vomiting+peritonitis -> Massively dilated stomach on #POCUS. NG tube placed
Fluid-filled Stomach on Gastric ... POCUS Abd pain ... Do a diagnostic/ ... @eabramsMD #Gastric ... #Dilated #Abdominal
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... culture-positive SBP ... signs (fever, abdominal ... pain, etc). ... #diagnosis #management
Prominent, Thickened Gastric Mucosal Folds on POCUS
POCUS for upper abdominal pain episodes to look for gallstones.
Prominent, Thickened Gastric ... Mucosal Folds on POCUS ... POCUS for upper ... abdominal pain ... Slim patient so
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
and Management ... triad: Bleeding, abdominal ... pain, and palpable ... abdominal mass ... Not reliable, so