8 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Pathophysiology ... Small Intestinal Bowel ... • Irritable Bowel ... Syndrome • Chronic ... #Algorithm #Treatment
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel ... Pathophysiology ... (e.g. fibromyalgia ... inflammation, Abdominal ... #Syndrome #Pathophysiology
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
- Differential Diagnostic ... Algorithm Look ... Metabolic disease (e.g ... syndrome #Diffuse ... #Algorithm
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
inflammation (e.g ... Antiphospholipid syndrome ... Hypoperfusion: Lumen (Bowel ... hypovolemia), Meds/Treatments ... #algorithm
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Leukostasis: • Pathophysiology ... limb ischemia, bowel ... : • Pathophysiology ... unless worrisome EKG ... #TLS #diagnosis
Irritable Bowel Syndrome (IBS) Management Algorithm
Step 1: Good communication, dietary and lifestyle advice
Abdominal Pain:
 • 1st
Irritable Bowel ... Syndrome (IBS) Management ... Algorithm Step ... lifestyle advice Abdominal ... #Treatment
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Abdominal Distention ... Algorithm Ascites ... Bowel Dilatation ... Intestinal Ogilvie's Syndrome ... #Algorithm
Strongyloides Stercoralis
EPIDEMIOLOGY - ASSOCIATED WITH SOUTHEASTERN U.S.:
 • 0-6% US Prevalence of those:
 • ~30% Asymptomatic
: Indigestion, abdominal ... • IgG ELISA TREATMENT ... ; intermittent egg ... HYPERINFECTION SYNDROME ... Translocation through bowel