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)
Distension and ... Small Intestinal Bowel ... β€’ Irritable Bowel ... Syndrome β€’ Chronic ... #Treatment #gastroenterology
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 β€’ Adhesions: Postoperative, Congenital,
Causes of Intestinal ... Hernia: External abdominal ... mesenteric artery syndrome ... Eosinophilic granuloma β€’ Infections ... #Causes #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... Criteria - Recurrent abdominal ... for diagnosis Treatment ... #treatment
Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Irritable Bowel ... Syndrome (IBS) - ... Rifaximin- up to 3 courses ... and Hepatology ... #treatment
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Weiss, Boerhaave syndrome ... fistula Lower: β€’ Bowel ... Ischemic colitis, Infectious ... #algorithm
IDSA Algorithm for the Management of Purulent skin and soft tissue infections (SSTIs). 
Mild infection: for
IDSA Algorithm for ... oral antibiotic treatment ... or those with clinical ... including those caused ... #SSTIs #Algorithm
Algorithm for the Diagnosis of Serotonin Syndrome
 - Serotonin syndrome is thought to be caused by
Algorithm for the ... thought to be caused ... - Clinical findings ... initiation of treatment ... #Algorithm #Symptoms
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... osmolarity If cause ... investigations depending on clinical ... renal biopsy β€’ Abdominal ... compartment syndrome
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
Management Algorithm ... Hypertension, Overweight, Abdominal ... β€’ Secondary Causes ... Endocrinopathies (Cushing Syndrome ... pancreatitis), Infections
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Consider refeeding syndrome ... nutrients β€’ TPN for treatment ... complication rate (i.e. infections ... bolus to the small bowel ... Gastric bypass causes