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Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... • Prior GEJ surgery ... Fundoplication, Bariatric surgery ... Dyssynergia Diagnostics ... Bloating #Management #Diagnosis
Hordeolum vs Chalazion

Hordeolum (Stye):
 • Location: Most commonly found at or near an eyelash follicle
 •
eyelash follicle • Cause ... , swelling • Treatment ... upper lid • Cause ... antibiotic eyedrops, surgery ... #Clinical #Diagnosis
Causes of Thrombocytosis - Differential Diagnosis Algorithm
Spurious:
 • Artifact (redo CBC)
Autonomous:
 • Essential thrombocytosis
 • Polycythemia
Causes of Thrombocytosis ... - Differential Diagnosis ... Damage: • Post-op surgery ... effect following treatment ... #Algorithm #Causes
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... to cirrhosis, Abdominal ... trauma including surgery ... #differential #diagnosis ... #causes #hepatology
Causes of Iron Deficiency
 • Inadequate Intake: Vegetarian/vegan diet, Malnutrition
 • Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Pregnancy, EPO treatment ... gastritis, Bariatric surgery ... #differential #diagnosis ... #causes #nutrition
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Rare Causes of Abdominal ... Hernias - Past surgery ... incisional hernias: clinical ... radicular pain #Rare #Causes ... #differential #diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
cardiothoracic surgery ... tube ❹ Rapid diagnosis ... • Diagnostic ... thoracotomy is a better treatment ... strategy. ❼ If clinically
Liver Abscess
•	Pyogenic abscess, accounts for 80% of abscess.
•	Amebic abscess due to Entamoeba histolytica, accounts for 10%.
•	Fungal
the bacterial cases ... an occult intra‐abdominal ... Fever in 90% & abdominal ... • Surgery: Where ... Open surgery or
AAA is defined as a localized balloon-like dilatation of the abdominal aorta greater than 3cm. Risk
dilatation of the abdominal ... rupture, elective surgery ... have claimed that POCUS ... Singh, MD #Clinical ... #Radiology #POCUS
Basic algorithm for diagnosis and management of hoarseness

Image Source: Peng  KA , Kim I,
algorithm for diagnosis ... Surgery: A case ... based clinical review ... www.amazon.com/Surgery-Case ... ; #diagnosis; #hoarseness