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Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings
Ileus: Functional bowel "blockage", no peristalsis
Mechanical Obstruction:
Mechanical Bowel Obstruction ... either acute or chronic ... abdominal pain • Obstipation ... percussion • Nausea ... ) #bowel #obstruction
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... obstructive pulmonary ... restrictive and obstructive ... Others: tumoral obstruction ... #Differential #Causes
Shock - Pathophysiology 
Inadequate tissue perfusion to meet O2, nutrient requirements
1. Distributive Shock
2. Hypovolemic Shock
3. Cardiogenic
Obstructive Shock ... differential #diagnosis #algorithm ... #causes
Pediatric Causes of Abdominal Pain

Surgical:
 - Acute appendicitis 
 - Intestinal obstruction including intussusception 
 -
Pediatric Causes ... - Intestinal obstruction ... bowel disease - Constipation ... Pain #Pediatrics #Causes
Causes of Constipation in Adults
Most common
 - Inadequate fiber or fluid intake
 - Poor bowel habits
Systemic
Causes of Constipation ... mass with obstruction ... disorders - Chronic ... intestinal pseudo-obstruction ... #Causes #Differential
The Diagnostic Approach to Hyperkalemia
Drugs
 - Amiloride
 - Spironolactone
 - Triamterene
 - Trimethoprim
 - Pentamidine
 -
inhibitors Other causes ... Urinary tract obstruction ... #Hyperkalemia #Algorithm ... #differential #causes
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Algorithm for the ... Evaluation of Chronic ... Causes of acute ... 1000 g/24 h) #Chronic ... Diarrhea #management #algorithm
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
Classification of ... miscellaneous causes ... toxins) • Biliary Obstruction ... #Jaundice #Classification ... #differential #causes
Classification of Diabetes Insipidus

Central or neurogenic diabetes insipidus:
 - Congenital - Structural malformations affecting the hypothalamus
Classification of ... renal disease, Obstructive ... uropathy, Metabolic causes ... Diabetes #Insipidus #Classification
Causes and Assessment of the Child with Recurrent Abdominal Pain
> 90% no structural cause identified
Gastrointestinal
 •
Causes and Assessment ... no structural cause ... bowel syndrome • Constipation ... junction (PUJ) obstruction ... Diagnosis #Pediatrics #Causes