12 results
Peristalsis Waves in Neurogenic Megacolon

Extremely large, intermittent waves of peristalsis in a 44-year-old man with quadriplegia
in Neurogenic Megacolon ... Waves #Neurogenic #Megacolon
Neurogenic Megacolon in Spinal Cord Injury - Computed tomography of the abdomen revealed massive dilatation of
Neurogenic Megacolon ... NeurogenicMegacolon #Neurogenic #Megacolon
Toxic Megacolon 
Inflammatory bowel disease or Infectious colitis characterized by total or segmental nonobstructive colonic dilatation
Toxic Megacolon ... condition #Toxic #Megacolon
Causes of Toxic Megacolon - Differential Diagnosis Framework
 • Inflammatory Bowel Disease: Ulcerative colitis, Crohn's colitis
Causes of Toxic Megacolon ... Chemotherapy #Toxic #Megacolon
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
(Ileus, Toxic Megacolon ... pseudomembranes and toxic megacolon ... complications (megacolon ... Fulminant CDI (Ileus, Megacolon
Stool Incontinence - Differential Diagnosis Algorithm
Affected Pelvic Floor 
 - Trauma/Surgery
   • Surgery: Anorectal,
Diabetes, Congenital Megacolon
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Fulminant UC, Toxic Megacolon
A proposed management algorithm for CDI in patients with inflammatory bowel disease. *Severe-complicated CDI is defined
38.5°C, ileus/megacolon
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Malignancy Toxic Megacolon
Chagas Disease - Acute, Chronic and Reactivation 

Acute Chagas
 - 95% asymptomatic
 - Chagoma (Romana's sign),
megaesophagus, megacolon