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diagnosis differential management bypass nutrition vitamin abdominal algorithm deficiencies disorders irritable nutrient surgery abg acid acidbase base bloating bloodgas cauda
Management of Abdominal Distension and Bloating - Treatment Algorithm Definitions Pathophysiology Organic/Pathologic Etiologies: • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Fundoplication, Bariatric ... Gastroparesis • Chronic Gastric ... Syndrome • Chronic ... #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 ... bypass causes increased ... Complications #gastric
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery Nutrient Deficiencies: • Most frequent in the malabsorptive surgeries
Supplementation Post Gastric ... folate, iron, B12 ... • Persistent nausea ... years • Pervasive neurologic ... Bypass #Surgery #bariatric
Irritable Bowel Syndrome (IBS) - Management Global IBS Symptoms: - Limited trial low FODMAP diet
Irritable Bowel ... Syndrome (IBS) - ... Rifaximin- up to 3 courses ... #Irritable #Bowel ... #treatment
Micronutrient Deficiencies After Gastric Bypass Fat-Soluble Vitamins: • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
Deficiencies After Gastric ... ataxia), Korsakoff syndrome ... anemia • Vitamin B12 ... vitamin #nutrition #table ... differential #diagnosis #bariatric
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary Diagnosis: • Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... for diagnosis Treatment ... #Irritable #Bowel ... #treatment
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... malabsorption (d/t reduced gastric ... conditions, surgeries (bariatric ... , gastric, intestinal ... Check for IF ab Treatment
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
AMI • PUD • Gastric ... • Irritable bowel ... syndrome • Celiac ... • Inflammatory bowel ... Differential #Diagnosis #gastroenterology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
disturbance • Bladder, bowel ... - Emergency Causes ... axial T1 and T2 Treatment ... differential #diagnosis #causes ... #neurology
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
HCO3)} Normal = 12 ... D-lactate (short bowel ... syndrome, intestinal ... Neuromuscular weakness (GBS ... Diagnosis #Summary #Nephrology
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