21 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... obstruction (CIPO) Disorders ... SyndromeChronic ... Idiopathic Constipation ... Functional Bloating • Abdomino-phrenic
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint ... Sign on Abdominal ... XRay - Differential ... • infection (e.g ... #Diagnosis #radiology
Fecal Incontinence - Pathogenesis and Complications
Continence mechanisms are impaired
 • Local neuronal damage
 • External and
ignored • Movement Disorders ... proctitis) • Chronic ... diarrhea-predominant irritable bowel ... syndrome, laxatives ... • Chronic constipation
Causes of Chronic Pelvic Pain (> 6 months in duration) - Differential Diagnosis Algorithm
Co-morbidities:
 • Somatization
in duration) - Differential ... Depression/anxiety • Abdominal ... syndrome • Inflammatory ... bowel disease ... • Constipation
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
(<72 hours) - Differential ... Peritonitic • Bowel ... Gastroenteritis • Constipation ... Metabolic disease (e.g ... syndrome #Diffuse
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Chronic Abdominal ... Pain Causes - Differential ... Diffuse Pain: • Constipation ... • Irritable bowel ... #Causes #Differential
Stool Incontinence - Differential Diagnosis Algorithm
Affected Pelvic Floor 
 - Trauma/Surgery
   • Surgery: Anorectal,
Incontinence - Differential ... Pelvic Floor - Chronic ... Constipation ... Syndrome • ... Chronic Laxative
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel ... (e.g. fibromyalgia ... , chronic fatigue ... inflammation, Abdominal ... , Eluxadoline Constipation
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Diagnostic Schema Chronic ... Thrombus, 1° clotting disorder ... inflammation (e.g ... Antiphospholipid syndrome ... Hypoperfusion: Lumen (Bowel
Causes of Constipation in Adults
Most common
 - Inadequate fiber or fluid intake
 - Poor bowel habits
Systemic
Causes of Constipation ... Psychogenic - Eating disorders ... - Chronic intestinal ... syndrome #Constipation ... #Causes #Differential