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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 ... Distension and ... EmoryGastroHep #Abdominal ... #Distension #Bloating ... #Management #Diagnosis
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Thumbprint Sign on Abdominal ... XRay - Differential ... • infection (e.g ... Thumbprint #Sign #Differential ... radiology #KUB #Abdominal
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Brady Management ... • Treatment: Pacemaker ... • Treatment: Pacemaker ... summary #Diagnosis #EKG ... electrocardiogram #ecg
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm
Blood Loss: >500mL post vaginal delivery OR >1000 mL
Post-Partum Hemorrhage - Differential ... Uterine fatigue (e.g ... macrosomia) • Bladder distension ... coagulopathy (e.g ... Hemorrhage #PPH #Differential
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Set pacemaker to ... bradycardia #diagnosis #differential ... #management #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... - ventricular pacemaker ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology #differential
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... (<72 hours) - Differential ... Metabolic disease (e.g ... Diffuse #Acute #Abdominal ... #Pain #Differential
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Kyphoscoliosis • Abdominal ... Distention Pulmonary ... #Dyspnea #SOB #Differential
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
• History of abdominal ... 420s vs 550s Abdominal ... position changes, distension ... , pressure • Abdominal ... Endoscopy #diagnosis #management
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Abdominal Distention ... - Differential ... • Extrinsic (e.g ... Injury, Stroke) #Abdominal ... #Distention #Differential