38 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Gastric Outlet Obstruction ... • Ascites • ... • Irritable Bowel ... Algorithm #Treatment #gastroenterology
Small Bowel Obstruction (Jejunum) Visualized on POCUS
Convex transducer viewing dilated jejunum w/ valvulae conniventes (“keyboard sign”).
Criteria
Small Bowel Obstruction ... Visualized on POCUS ... #Obstruction #Jejunum ... #SBO #POCUS #clinical ... #ultrasound #abdominal
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 • Adhesions: Postoperative, Congenital,
Hernia: External abdominal ... Inflammatory: Intra-abdominal ... perforate the bowel ... Diagnosis #SBO #bowel ... #Causes #gastroenterology
Accuracy of abdominal ultrasound for the diagnosis of small bowel obstruction in the emergency department

https://www.ncbi.nlm.nih.gov/pubmed/30181794

Our data
Accuracy of abdominal ... diagnosis of small bowel ... obstruction in ... #Obstruction #SBO ... #POCUS #Diagnosis
Small Bowel Obstruction and Ascites on POCUS

- Pitt Internal Medicine Point of Care Ultrasound @PittIMPOCUS

#SmallBowel #Obstruction
Small Bowel Obstruction ... and Ascites on ... POCUS - Pitt ... #SmallBowel #Obstruction ... #Ascites #POCUS
Extraintestinal manifestations of Crohn’s disease
Dermatological: Aphthous stomatitis, Erythema nodosum, Psoriasis, Pyoderma gangrenosum
Vascular: Portal hypertension, Thromboembolism, Thrombosis,
Pyoderma gangrenosum Vascular ... Episcleritis Respiratory: Obstructive ... cancer, Small-bowel ... IBD #diagnosis #gastroenterology
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
Classification by site of vascular ... obstruction 1) ... to cirrhosis, Abdominal ... Classification #gastroenterology
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
Small Bowel Obstruction ... POCUS This patient ... loop of small bowel ... #Ascites #POCUS ... #Abdominal #clinical
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Perforation on POCUS ... perforation and obstruction ... enhancement also seen = bowel ... to look for the abdominal ... #Perforation #POCUS
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
• Intestinal obstruction ... • Irritable bowel ... • Inflammatory bowel ... disease • Necrotic bowel ... Differential #Diagnosis #gastroenterology