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diagnosis management differential ibs abdominal acidosis algorithm anemia aplastic bariatric bloating bypass classification complications disorders distension ebm elevation emergencies evidence
Management of Abdominal Distension and Bloating - Treatment Algorithm Definitions Pathophysiology Organic/Pathologic Etiologies: • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... • Prior GEJ surgery ... Interaction: • Irritable ... Bowel Syndrome ... #gastroenterology
Irritable Bowel Syndrome (IBS) - Management Global IBS Symptoms: - Limited trial low FODMAP diet
Irritable Bowel ... Syndrome (IBS) - ... Rifaximin- up to 3 courses ... #Bowel #Syndrome ... #treatment
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary Diagnosis: • Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... for diagnosis Treatment ... #Bowel #Syndrome ... #treatment
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... deficiencies) Dumping Syndrome ... bolus to the small bowel ... Gastric bypass causes
Ileal Pouch Disorders - Differential Diagnosis • Surgical/Mechanical: Anastomotic leak, Pelvic sepsis, Sinus, Fistula, Strictures, Efferent
Small bowel bacterial ... • Functional: Irritable ... Bone loss, Vit D/B12 ... Differential #Diagnosis #surgery ... #gastroenterology
Aplastic Anemia - Overview Who? • M = F • 3 peaks: 1) Childhood 2) 15-25 years 3) >60 years What? • Aplastic anemia
Aplastic Anemia Clinical ... and petechiae Causes ... - Parvovirus B19 ... aplastic anemia Treatment ... Aplastic #Anemia #oncology
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
Summary of Oncologic ... Treat underlying cause ... urinary retention, bowel ... treat - Calcium > 12 ... → no immediate treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
of lactate as a clinical ... perfusion - shock->treatments ... regional ischemia, surgery ... before beginning treatment ... - Compartment syndrome
Probiotics Guidelines Adults with C difficile infection • Recommendation: Only in the context of a clinical trial
the context of a clinical ... on antibiotic treatment ... and adults with irritable ... bowel syndrome ... Probiotics #Guidelines #gastroenterology
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
Reconstitution Inflammatory Syndrome ... noncompliance • Clinical ... initiation Clinical ... serositis peritonitis, bowel ... #Inflammatory #Syndrome
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