29 results
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Irritable bowel ... syndrome 4. ... biopsy - Small bowel ... fat Increased fecal ... syndrome, Factitious
Irritable Bowel Syndrome (IBS) Treatment Algorithm

IBS-Constipation:
 • Constipation: Osmotic laxatives
 • Abdominal pain: Antispasmodics

IBS-Diarrhea:
 • Diarrhea:
Irritable Bowel ... Syndrome (IBS) Treatment ... laxatives • Abdominal ... : • Diarrhea: ... #Syndrome #IBS
Fecal Incontinence - Pathogenesis and Complications
Continence mechanisms are impaired
 • Local neuronal damage
 • External and
Fecal Incontinence ... , diarrhea-predominant ... irritable bowel ... syndrome, laxatives ... dementia) #Fecal
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... Gastrointestinal: Diarrhea ... , increased bowel ... Cardiovascular and vital sign ... Symptoms #spectrum #signs
Small Bowel Obstruction (Jejunum) Visualized on POCUS
Convex transducer viewing dilated jejunum w/ valvulae conniventes (“keyboard sign”).
Criteria
Visualized on POCUS ... conniventes (“keyboard sign ... free fluid (tanga sign ... #Jejunum #SBO #POCUS ... clinical #ultrasound #abdominal
Clinical manifestations of anaphylaxis. 
Neurological (<15%): Dizziness, syncope, seizures, Confusion, impending doom. headache
Angioedema: Lips, tongue, orbit,
arrest, Kounis syndrome ... Nausea, vomiting, diarrhea ... intestinal edema, abdominal ... pain and fecal ... #anaphylaxis #signs
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
• Vomiting, diarrhea ... • Irritable bowel ... syndrome • Celiac ... • Inflammatory bowel ... intolerance • SIBO Focal
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Syndrome (IBS) - ... Criteria - Recurrent abdominal ... • If Diarrhea: ... disease w/ fecal ... calprotectin or fecal
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel ... Syndrome (IBS) - ... inflammation, Abdominal ... cognitions, Abuse Diarrhea ... IBS #Irritable #Bowel
Intussusception on POCUS

Notice the target sign on the left (TV view) and the telescoping bowel on
Intussusception on POCUS ... Notice the target sign ... view) and the telescoping ... bowel on the right ... Intussusception #POCUS