9 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Small Intestinal Bowel ... Overgrowth (SIBO ... • GI or GYN Malignancy ... • Irritable Bowel
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Chronic Abdominal ... - Differential Diagnosis ... did not yield a diagnosis ... Epigastric: Consider cardiac ... intolerance • SIBO
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint ... Sign on Abdominal ... • inflammatory bowel ... • infection (e.g ... #radiology #KUB
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Schema Chronic: ... clotting disorder, Malignancy ... inflammation (e.g ... Thrombus / Embolism: Cardiac ... Hypoperfusion: Lumen (Bowel
Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 • Autoimmune— PBC, PSC
 • Infection— liver
- Differential Diagnosis ... Cholestatic drugs- e.g ... - Acquired • Chronic ... length • Short bowel ... Infectious • SIBO
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Abdominal Distention ... - Differential Diagnostic ... Algorithm Ascites Bowel ... Volvulus 3% • Malignancy ... Hypothyroidism Chronic
Small Bowel Obstruction
67 y/o M with PMH colon cancer s/p resection and colostomy, multiple SBO managed
colostomy, multiple SBO ... and increasing abdominal ... diagnosis of SBO ... Medicine #Clinical #Radiology ... #POCUS #AbdominalUS
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Differential Diagnosis ... Infections • Malignancy ... small and large bowel ... Cytopenias • Cardiac ... with Lupus: • Chronic
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
CT abdomen if abdominal ... urinary retention, bowel ... interventional radiology ... Hypercalcemia of malignancy ... Oncology #HemeOnc #Diagnosis