Duodenal atresia differential diagnosis: Difference between revisions
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==Differentiating duodenal atresia from other Diseases== | ==Differentiating duodenal atresia from other Diseases== | ||
*Duodenal atresia must be differentiated from other diseases that cause persistent vomiting, and feeding difficulties, such as volvulus, jejuno-ileal atresia, and malrotation.<ref name="AdamsStanton2014">{{cite journal|last1=Adams|first1=Stephen D.|last2=Stanton|first2=Michael P.|title=Malrotation and intestinal atresias|journal=Early Human Development|volume=90|issue=12|year=2014|pages=921–925|issn=03783782|doi=10.1016/j.earlhumdev.2014.09.017}}</ref><ref name="MorrisKennedy2016">{{cite journal|last1=Morris|first1=Grant|last2=Kennedy|first2=Alfred|last3=Cochran|first3=William|title=Small Bowel Congenital Anomalies: a Review and Update|journal=Current Gastroenterology Reports|volume=18|issue=4|year=2016|issn=1522-8037|doi=10.1007/s11894-016-0490-4}}</ref><ref name="pmid10821158">{{cite journal| author=Kimura K, Loening-Baucke V| title=Bilious vomiting in the newborn: rapid diagnosis of intestinal obstruction. | journal=Am Fam Physician | year= 2000 | volume= 61 | issue= 9 | pages= 2791-8 | pmid=10821158 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10821158 }} </ref> | *Duodenal atresia must be differentiated from other diseases that cause persistent vomiting, and feeding difficulties, such as volvulus, jejuno-ileal atresia, and malrotation.<ref name="AdamsStanton2014">{{cite journal|last1=Adams|first1=Stephen D.|last2=Stanton|first2=Michael P.|title=Malrotation and intestinal atresias|journal=Early Human Development|volume=90|issue=12|year=2014|pages=921–925|issn=03783782|doi=10.1016/j.earlhumdev.2014.09.017}}</ref><ref name="MorrisKennedy2016">{{cite journal|last1=Morris|first1=Grant|last2=Kennedy|first2=Alfred|last3=Cochran|first3=William|title=Small Bowel Congenital Anomalies: a Review and Update|journal=Current Gastroenterology Reports|volume=18|issue=4|year=2016|issn=1522-8037|doi=10.1007/s11894-016-0490-4}}</ref><ref name="pmid10821158">{{cite journal| author=Kimura K, Loening-Baucke V| title=Bilious vomiting in the newborn: rapid diagnosis of intestinal obstruction. | journal=Am Fam Physician | year= 2000 | volume= 61 | issue= 9 | pages= 2791-8 | pmid=10821158 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10821158 }} </ref> | ||
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| style="background: #F5F5F5; padding: 5px;" | +/- | | style="background: #F5F5F5; padding: 5px;" | +/- | ||
| style="background: #F5F5F5; padding: 5px;" | + | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" |+/- | | style="background: #F5F5F5; padding: 5px;" | +/- | ||
| style="background: #F5F5F5; padding: 5px;" |+ | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" |+ | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" |Gas in stomach with absent gas in small inestine | | style="background: #F5F5F5; padding: 5px;" |Gas in stomach with absent gas in small inestine | ||
| style="background: #F5F5F5; padding: 5px;" |Stomach distension and air fluid levels | | style="background: #F5F5F5; padding: 5px;" |Stomach distension and air fluid levels | ||
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| style="background: #F5F5F5; padding: 5px;" | +/- | | style="background: #F5F5F5; padding: 5px;" | +/- | ||
| style="background: #F5F5F5; padding: 5px;" | + | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" |+ | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" |+ | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" |+ | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" |Gas in stomach with no gas in colon | | style="background: #F5F5F5; padding: 5px;" |Gas in stomach with no gas in colon | ||
| style="background: #F5F5F5; padding: 5px;" |Stomach and proximal small intestine distension | | style="background: #F5F5F5; padding: 5px;" |Stomach and proximal small intestine distension | ||
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| style="background: #F5F5F5; padding: 5px;" | +/- | | style="background: #F5F5F5; padding: 5px;" | +/- | ||
| style="background: #F5F5F5; padding: 5px;" | + | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" |+ | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" |+ | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" |+ | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" |Malrotation of intestine | | style="background: #F5F5F5; padding: 5px;" |Malrotation of intestine | ||
| style="background: #F5F5F5; padding: 5px;" |Malrotation of intestine with gas in stomach | | style="background: #F5F5F5; padding: 5px;" |Malrotation of intestine with gas in stomach | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Meconium ileus | ||
| style="background: #F5F5F5; padding: 5px;" | + | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" | + | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" | +/- | | style="background: #F5F5F5; padding: 5px;" | +/- | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" |- | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" |- | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" |+ | | style="background: #F5F5F5; padding: 5px;" | + | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |None | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |None | ||
| style="background: #F5F5F5; padding: 5px;" |Hypokalemia | | style="background: #F5F5F5; padding: 5px;" |Hypokalemia | ||
Revision as of 19:12, 28 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Duodenal atresia must be differentiated from other diseases that cause persistent vomiting, and feeding difficulties, such as volvulus, jejuno-ileal atresia, and malrotation.
Differentiating duodenal atresia from other Diseases
- Duodenal atresia must be differentiated from other diseases that cause persistent vomiting, and feeding difficulties, such as volvulus, jejuno-ileal atresia, and malrotation.[1][2][3]
| Diseases | History and Symptoms | Physical Examination | Laboratory Findings | Other Findings | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Vomiting | Feeding difficulty | Stool present | Bilious vomitus | Abdominal distension | Abdominal tenderness | Dehydrated | Abdominal ultrasound | Abdominal x-ray | Electrolytes | ||
| Duodenal Atresia | + | + | +/- | + | +/- | + | + | Gas in stomach with absent gas in small inestine | Stomach distension and air fluid levels | Hypokalemia
Hyperchloremia |
|
| Jejuno-ileal atresia | + | + | +/- | + | + | + | + | Gas in stomach with no gas in colon | Stomach and proximal small intestine distension | Hypokalemia
Hyperchloremia |
|
| Volvulus | + | + | +/- | + | + | + | + | Malrotation of intestine | Malrotation of intestine with gas in stomach | Hypokalemia
Hyperchloremia |
|
| Meconium ileus | + | + | +/- | - | - | - | + | None | None | Hypokalemia
Hyperchloremia |
|
References
- ↑ Adams, Stephen D.; Stanton, Michael P. (2014). "Malrotation and intestinal atresias". Early Human Development. 90 (12): 921–925. doi:10.1016/j.earlhumdev.2014.09.017. ISSN 0378-3782.
- ↑ Morris, Grant; Kennedy, Alfred; Cochran, William (2016). "Small Bowel Congenital Anomalies: a Review and Update". Current Gastroenterology Reports. 18 (4). doi:10.1007/s11894-016-0490-4. ISSN 1522-8037.
- ↑ Kimura K, Loening-Baucke V (2000). "Bilious vomiting in the newborn: rapid diagnosis of intestinal obstruction". Am Fam Physician. 61 (9): 2791–8. PMID 10821158.