13 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Bowel Overgrowth (SIBO ... Obstruction • Ascites ... Dyssynergia Diagnostics ... #Management #Diagnosis
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... Bacterial Peritonitis (SBP ... Complications #diagnosis ... #management #summary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... #criticalcare # ... #management
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... and Management ... hypertensive source • SBP ... suggests higher SBP ... #Diagnosis #Management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... , mortality in SBP ... #Peritonitis #SBP ... #diagnosis #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
: SBP<90, SBP drop ... Mental Status (SBP ... #Management #Summary ... #criticalcare # ... treatment #workup
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
of small bowel floating ... the ED), c/w an SBO ... Labeled Schematic ... 999003416323084289 #SBO ... #POCUS #Abdominal
Aortic Dissection - Diagnosis and Management Summary
 • HPI: sudden onset, "tearing" chest pain, radiation to
Aortic Dissection - Diagnosis ... Summary • HPI: ... ) - goal SBP ... #Management #summary ... #treatment
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
and Management ... Summary Diagnosis ... Criteria - Recurrent abdominal ... of stool * Bloating ... #treatment
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... SBP < 100 3. ... recognition and treatment ... Sepsis #Criteria #Diagnosis ... #SIRS #criticalcare