Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 β€’ Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Bloating - Treatment Algorithm ... Gastric Outlet Obstruction ... Intestinal Pseudo obstruction ... Testing Treatment Algorithm
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
Flow of Dilated Abdominal ... have distended abdominal ... What is the cause ... can also lead abdominal ... #abdominal #veins
β–Ί
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea ... Differential Diagnosis Algorithm ... Bronchitis β€’ Chronic obstructive ... Pleura: β€’ Pleural effusion ... #Causes
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis Algorithm ... ventricular outflow obstruction ... Dysautonomia Obstructive ... Differential #Diagnosis #Algorithm ... #shock #causes
Accuracy of abdominal ultrasound for the diagnosis of small bowel obstruction in the emergency department

https://www.ncbi.nlm.nih.gov/pubmed/30181794

Our data
Accuracy of abdominal ... of small bowel obstruction ... when compared to abdominal ... #Obstruction #SBO ... #POCUS #Diagnosis
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Artery Stenosis, Abdominal ... Post-Renal: β€’ Obstruction ... Diagnosis #nephrology #causes ... #algorithm
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 β€’ Adhesions: Postoperative, Congenital,
Causes of Intestinal ... Obstruction - Differential ... Hernia: External abdominal ... Inflammatory: Intra-abdominal ... Diagnosis #SBO #bowel #Causes
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Dilated Abdominal ... determine the cause ... β€’ IVC Obstruction ... anterior chest wall & abdominal ... #comparison #abdominal
A quick way to consider causes of PEA arrest (or severe hypotension) is to consider: Volume
way to consider causes ... Volume - Pump - Obstruction ... , and then 3 causes ... of obstruction ... Differential #Evaluation #Algorithm
Important Causes of RUQ and Midline Abdominal Pain - Illness Scripts
PUD, Gastroenteritis, Small bowel obstruction, Appendicitis,
Important Causes ... RUQ and Midline Abdominal ... Gastroenteritis, Small bowel obstruction