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Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Distension and Bloating ... Small Intestinal Bowel ... • Irritable Bowel ... #gastroenterology
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 • Adhesions: Postoperative, Congenital,
Obstruction - Differential ... Hernia: External abdominal ... abscess, "Starch ... perforate the bowel ... #Causes #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
Irritable Bowel ... Criteria - Recurrent abdominal ... of stool * Bloating ... for diagnosis Treatment ... #treatment
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... • Splenomegaly/Abscess ... • Irritable bowel ... Chronic #Causes #Differential ... #Diagnosis #gastroenterology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
nutrients • TPN for treatment ... bolus to the small bowel ... Gastrointestinal (N/V bloating ... inuslin release leading ... #diagnosis #differential
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
• Epigastric abdominal ... Autoimmune, PUD (posterior ... early; late to assess ... Diagnosis #Management #Treatment ... #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 ... constipation Differential ... Spinal infection/abscess ... perineum, and posterior ... axial T1 and T2 Treatment
Lymphogranuloma Venereum (LGV)
Primary LGV:
 • Genital LGV: Painless genital papule, pustule, ulcer or erosion, Urethral/cervical mucopurulent
Proctitis (Rectal bleeding ... Tenesmus), Altered bowel ... enlargement, Lymph node abscess ... Anorectal LGV: Lower abdominal ... stages #diagnosis #differential
Low FODMAP Diet Foods 

Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols (to Avoid).  
These short-chain carbohydrates
poorly absorbed, leading ... symptoms like bloating ... , gas, and abdominal ... such as Irritable Bowel ... Diet #Nutrition #Gastroenterology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
CT abdomen if abdominal ... - Simultaneous clotting ... and bleeding; high ... urinary retention, bowel ... → no immediate treatment