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 Bloating ... obstruction (CIPO) Disorders ... Interaction: β€’ Irritable ... Bowel Syndrome ... #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... of stool * Bloating ... #Bowel #Syndrome ... #treatment
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Irritable Bowel ... Syndrome (IBS) - ... form of stool * Bloating ... Pelvic Floor Disorder ... #Bowel #Syndrome
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Mesenteric Ischemia - Differential ... : Thrombus, 1Β° clotting ... disorder, Malignancy ... Antiphospholipid syndrome ... hypovolemia), Meds/Treatments
Hydroxyapatite Deposition Disease (HADD) - MSK Radiology
Imaging Findings:
 β€’ Ovoid hypointense structures along the bursal surface
Disease (HADD) - MSK ... Deposits may show blooming ... β€’ Treatment for ... Differential diagnosis ... other systemic disorders
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 ... Gastrointestinal (N/V bloating ... after RYGB β€’ Disorder ... #diagnosis #differential