14 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Obstruction • Ascites ... Disorders of Gut-Brain ... SyndromeChronic ... Functional Bloating • Abdomino-phrenic ... Algorithm #Treatment #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 ... (e.g. cirrhosis ... auscultatory percussion, abdominal ... perforation), Serum pro-brain
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Chronic Abdominal ... • Irritable bowel ... syndrome • Celiac ... • Inflammatory bowel ... #Diagnosis #gastroenterology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
Hepatorenal Syndrome ... structural kidney injury ... - No other cause ... - No other cause ... HRSAKI #HRSNAKI #hepatology
Causes of Chronic Pelvic Pain (> 6 months in duration) - Differential Diagnosis Algorithm
Co-morbidities:
 • Somatization
Causes of Chronic ... Depression/anxiety • Abdominal ... syndrome • Inflammatory ... bowel disease ... trigger points) • Injury
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... those with CLD (± cirrhosis ... transplantation Brain ... Drug-Induced Liver Injury ... #Hepatology #gastroenterology
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Diagnostic Algorithm Ascites ... Bowel Dilatation ... Other Causes ... Intestinal Ogilvie's Syndrome ... Sclerosis, Spinal Injury
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Algorithm Vascular Causes ... vein: Budd-chiari syndrome ... > 2 • NASH, Chronic ... hepatitis: < 1 • Cirrhosis ... : > 3 • Chronic
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... Criteria - Recurrent abdominal ... and Hepatology ... IBS #Irritable #Bowel
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
> 2 • NASH, Chronic ... hepatitis: < 1 • Cirrhosis ... : > 3 • Chronic ... , RBC, Kidney, Brain ... • Gilbert's syndrome