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 ... Gastric Outlet Obstruction ... Intestinal Pseudo obstruction ... Dyssynergia Diagnostics ... #Diagnosis #Algorithm
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
ultrasound for the diagnosis ... of small bowel obstruction ... and discharge diagnosis ... #Obstruction #SBO ... #POCUS #Diagnosis
Important Causes of RUQ and Midline Abdominal Pain - Illness Scripts
PUD, Gastroenteritis, Small bowel obstruction, Appendicitis,
RUQ and Midline Abdominal ... Gastroenteritis, Small bowel obstruction ... #differential #diagnosis ... #signs #symptoms
Small Bowel Obstruction on POCUS
73 yo F abdominal pain and vomiting. Dx made within minutes.
Small Bowel Obstruction ... on POCUS 73 yo ... F abdominal pain ... "poo and fro" sign ... #POCUS #clinical
β–Ί
Emphysematous Cystitis
Epidemiology:
 β€’ Usually middle-aged diabetic women
 β€’ Other RF: neurogenic bladder, urinary tract outlet obstruction,
urinary tract outlet obstruction ... compromise Clinical Signs ... Abdominal or flank ... be present or signs ... #management
Small Bowel Obstruction on Abdominal POCUS
Pt has abdominal pain, distension and vomiting. POCUS confirms the Dx:
Small Bowel Obstruction ... on Abdominal POCUS ... fluid - Key board sign ... SBO #SmallBowel #Obstruction ... #Abdominal #POCUS
β–Ί
ACUTE ABDOMEN systemic sonographic approach to acute abdomen in emergency 
department - Mnemonic and Differential

A -
Differential A - Abdominal ... bowel loop O - Obstructive ... #Differential #Diagnosis ... #POCUS #Ultrasound
Small Bowel Obstruction
These images were recorded from an elderly lady with abdominal pain and vomiting. Small
Small Bowel Obstruction ... elderly lady with abdominal ... Other signs of SBO ... Clinical #Radiology #POCUS ... #AbdominalUS #SBO
β–Ί
Infective Endocarditis - Diagnosis and Management Summary
Pearls:
 - Consider non-infectious endocarditis in pts with cancer/SLE and
Endocarditis - Diagnosis ... and Management ... phenomenon > valvular destruction ... - Classical signs ... #Management #Summary
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... Distributive β€’ Obstructive ... 4) Diagnosis and ... #Hypotension #Management