8 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Fundoplication, Bariatric ... • Irritable Bowel ... SyndromeChronic ... #gastroenterology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... bolus to the small bowel ... Gastrointestinal (N/V bloating ... Gastric bypass causes
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... of stool * Bloating ... for diagnosis Treatment ... #treatment
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Acute or chronic ... D-lactate (short bowel ... syndrome, intestinal ... bloodgas #Acid #Base
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Asian countries (1 case ... Self-limiting, chronic ... but stable or chronic ... Progression to chronic ... abnormal LFT): 12
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Chronic infections ... tissue at the nail base ... feels spongy or floating ... , inflammatory bowel ... seen in Reiter's syndrome
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
- Simultaneous clotting ... Treat underlying cause ... urinary retention, bowel ... treat - Calcium > 12 ... → no immediate treatment
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
and Inflammatory Bowel ... energy intake x 8-12 ... CD-TREAT - Solid food-based ... trigger abdominal bloating ... #management #treatment