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differential causes testing acidosis algorithm alkalosis anemia base bloating bowel deficiency diarrhea distension diuresis diuretics elastase endocrinology excretion fecal gastrointestinal
Management of Abdominal Distension and Bloating - Treatment Algorithm Definitions Pathophysiology Organic/Pathologic Etiologies: • Small Intestinal Bowel Overgrowth (SIBO)
Intolerance • Celiac ... obstruction (CIPO) Disorders ... Functional Bloating • Abdomino-phrenic ... Dyssynergia Diagnostics ... Algorithm #Treatment #gastroenterology
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Approach to Acid ... - Evaluation and ... chronicity (acute, chronic ... , or acute on chronic ... #Evaluation #workup
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Chronic Abdominal ... - Differential Diagnosis ... have had prior evaluations ... bowel syndrome • Celiac ... #gastroenterology
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
Gastrointestinal Evaluation ... inflammation or chronic ... tests Test for celiac ... #workup #diagnosis ... #gastroenterology
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... - Workup Osmotic ... colonoscopy), Abdominal ... #Diarrhea #Workup ... #testing #evaluation
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary Use a positive diagnostic strategy with minimal testing.
and Workup Summary ... Criteria - Recurrent abdominal ... - Rule out celiac ... Pelvic Floor Disorder ... #workup #gastroenterology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
secretion; in chronic ... as a result of chronic ... Insufficiency #Evaluation ... #laboratory #diagnosis ... endocrinology #workup
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... Bumetanide, Ethacrynic acid ... Postoperative abdominal ... distention • Abdominal ... specific bleeding disorders
Causes of a low fecal elastase Abnormal pancreatic imaging: Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
mellitus, Bile acid ... Rheumatological disorders ... , Chronic kidney ... #differential #diagnosis ... #causes #gastroenterology
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