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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 ... Gastroparesis • Chronic Gastric ... Functional Bloating • Abdomino-phrenic ... EmoryGastroHep #Abdominal
Functional Dyspepsia - Signs, Symptoms and Pathophysiology
Delayed gastric emptying - Postprandial fullness, nausea, vomiting
Hypersensitivity to gastric
Pathophysiology Delayed gastric ... Hypersensitivity to gastric ... postprandial fullness, abdominal
Tapioca Pearls (Boba) on Gastric POCUS and CT (Incidental finding)
15 y/o male with abdominal pain without
Pearls (Boba) on Gastric ... y/o male with abdominal ... Abdominal ultrasonography ... #Pearls #Boba #Gastric
Perforated Gastric Ulcer on Abdominal POCUS
Not all FASTs are simple. Take a look at this! There
Perforated Gastric ... Ulcer on Abdominal ... suffered a perforated gastric ... freefluid #Perforated #Gastric ... #Ulcer #Abdominal
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Chronic Abdominal ... patients with chronic abdominal ... • Edema • Abdominal ... IBD Chronic abdominal ... AMI • PUD • Gastric
G-tube stuck in the abdominal wall on POCUS Ultrasound
Also in the underrated, not typically taught, but
G-tube stuck in the abdominal ... tube #clinical #abdominal ... POCUS #Ultrasound #gastric
Organomegaly
 • Liver
 • Spleen
 • Kidneys (e. g. Cyst, Cystic Renal Cell Carcinoma, Hydronephrosis)
Neoplastic
 •
Colonic, Gastric ... • Vascular (Abdominal ... Pseudocyst #Abdominal
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Gastric Rupture ... fluid-Perforated viscus (gastric ... RJonesSonoEM #Gastric ... Exam #Positive #Abdominal
Dilated Fluid-filled Stomach on Gastric POCUS

Abd pain+vomiting+peritonitis -> Massively dilated stomach on #POCUS. NG tube placed
Fluid-filled Stomach on Gastric ... @eabramsMD #Gastric ... #Dilated #Abdominal
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Rare Causes of Abdominal ... associated with mild gastric ... down) position • Abdominal ... pain • Abdominal ... #Rare #Causes #Abdominal