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Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings
Ileus: Functional bowel "blockage", no peristalsis
Mechanical Obstruction:
Mechanical Bowel ... Findings Ileus: Functional ... either acute or chronic ... percussion • Nausea ... obstruction #sbo #ileus #pathophysiology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Causes of High-anion ... failure (acute and chronic ... ) Causes of Non-anion ... pancreatic or small-bowel ... Chronic progressive
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
Major Segments of the Nephron and their Functions 
 - Glomerulus - Formation of glomerular filtrate
Nephron and their Functions ... organic acids and bases ... tubule (DCT) - Active ... #Pathophysiology ... #Tubules #Table
Small Bowel Infarction - Pathogenesis and Clinical Findings

Thankfully, bowel infarction in general is the rarest cause
Small Bowel Infarction ... is the rarest cause ... Bowel infarction ... colon is reduced, colonic ... SmallBowel #Infarction #pathophysiology
Causes of Hypomagnesemia
Redistribution:
 - IV glucose
 - Correction of diabetic ketoacidosis
 - IV hyperalimentation
 - Refeeding
Causes of Hypomagnesemia ... - Nasogastric suction ... intake - Small bowel ... Hypomagnesemia #Causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... B-blockers with caution ... Treat underlying cause ... Treat underlying cause ... management #cardiology #algorithm
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
liver cirrhosis, chronic ... Kidney stones caused ... cirrhosis, and chronic ... the Nonspecific Cation ... #Medications #Table
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... loss: Nasogastric suction ... intake, Small bowel ... Hypomagnesemia #Causes
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... , nasogastric suction ... - Diuretics (carbonic ... #Hypokalemia #Causes