|
|
Line 23: |
Line 23: |
| :*:* [[Swallowing air]] | | :*:* [[Swallowing air]] |
| * Attention to history and physical examination is important to formulate plan of diagnosis | | * Attention to history and physical examination is important to formulate plan of diagnosis |
|
| |
| ==Causes in Alphabetical Order==
| |
|
| |
| '''Abdominal distension''' (or "distended abdomen") can be a sign of many other conditions, including:In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
| |
|
| |
| * [[Abdominal abscess]]
| |
| * [[Abdominal aneurysm]]
| |
| * [[Abdominal trauma]] with intra-abdominal [[bleeding]]
| |
| * [[Acanthocytosis]]
| |
| * [[Acute appendicitis]]
| |
| * [[Air swallowing]] (nervous habit)
| |
| * [[Ascites]]
| |
| *:* [[Congestive Heart Failure]]
| |
| :* [[Hypoalbuminemia]] (e.g. [[malnutrition]], [[liver failure]])
| |
| :* [[Metastatic cancer]] (e.g., colon, ovarian)
| |
| :* [[Nephrotic syndrome]]
| |
| :* [[Portal hypertension]] (e.g. [[cirrhosis]])
| |
| * [[Biliary Atresia]]
| |
| * [[Blind loop syndrome]]
| |
| * [[Chylous ascites]]
| |
| * [[Cirrhosis]]
| |
| * [[Colonic pseudo-obstruction]] ([[Ogilvie's Syndrome]])
| |
| * [[Colonic volvulus]]
| |
| * [[Congenital hepatic porphyria]]
| |
| * [[Congenital megacolon]]
| |
| * Congenital short bowel
| |
| * [[Congenital tuberculosis]]
| |
| * [[Constipation]]
| |
| * [[Diverticulitis]]
| |
| * End stage [[liver failure]]
| |
| * Functional gas/[[constipation]]
| |
| * Gas/bloat syndrome
| |
| * [[Granulosa cell tumor]] of the [[ovary]]
| |
| * [[Heart failure]]
| |
| * [[Helminthiasis]]
| |
| * Hepatorenal [[tyrosinemia]]
| |
| * [[Hirschsprung disease]]
| |
| * [[Hypothyroidism]]
| |
| * Idiopathic sclerosing mesenteritis
| |
| * [[Ileus]]
| |
| * [[Infectious diarrhea]]
| |
| * [[Irritable bowel syndrome]]
| |
| * Jirásek-Zuelzer-Wilson syndrome
| |
| * [[Lactose intolerance]]
| |
| * [[Large bowel obstruction]]
| |
| * [[Leukemia]]
| |
| * [[Lymphoma]]
| |
| * [[Meconium]] plug syndrome
| |
| * [[Metastatic cancer]] (e.g., colon, ovarian)
| |
| * [[Necrotizing enterocolitis]]
| |
| * Neonatal [[sepsis]]
| |
| * [[Nephrotic syndrome]]
| |
| * [[Obesity]]
| |
| * [[Ovarian hyperstimulation syndrome]] [[OHSS]]
| |
| * [[Ovarian cancer]]
| |
| * [[Ovarian cyst]]
| |
| * [[Overeating]]
| |
| * [[Pancreatitis]] and complications (pseudocyst)
| |
| * [[Paralytic ileus]]
| |
| * Peritoneal bleeding
| |
| * [[Peritonitis]]
| |
| * [[Polycystic Liver Disease]]
| |
| * [[Pregnancy]]
| |
| * [[Premenstrual syndrome]]
| |
| * Sclerosing mesenteritis
| |
| * [[Small bowel obstruction]]
| |
| * Smith's disease
| |
| * [[Spontaneous bacterial peritonitis]] (SBP)
| |
| * Stalker-Chitayat syndrome
| |
| * [[Toxic megacolon]]
| |
| * [[Trauma]]
| |
| * [[Umbilical hernia]] or [[ventral hernia]]
| |
| * Urethral obstruction sequence
| |
| * Urorectal septum malformation sequence
| |
| * Valvular dysplasia of the child
| |
| * [[Variegate porphyria]]
| |
| * [[Weight gain]]
| |
| * Wolman syndrome
| |
|
| |
| Other:
| |
|
| |
| Pseudomyxoma peritonei
| |
|
| |
| Clostridium Difficile
| |
| Ascites
| |
| Hookworm
| |
| Drowning
| |
| Pelvic Masses
| |
| Ileus
| |
| Pseudocyesis
| |
| Pulmonary hypertension
| |
| Volvulus
| |
|
| |
| Eosinophilic gastroenteritis
| |
| Ulcerative colitis
| |
| Strongyloidiasis
| |
| Toxic megacolon
| |
| Soiling
| |
| Bloating
| |
| Necrotizing enterocolitis
| |
| Intestinal pseudoobstruction
| |
| Cardiac tamponade
| |
| Enteritis
| |
| Jugular venous pressure
| |
| Ischemic colitis
| |
| SSRI discontinuation syndrome
| |
|
| |
| Bowel obstruction
| |
| Autonomic dysreflexia
| |
| Islet cell transplantation
| |
|
| |
| Infectious hematopoietic necrosis virus
| |
| Cordyceps
| |
| Ovarian hyperstimulation syndrome
| |
| Necrotising enterocolitis
| |
| Distension
| |
|
| |
| ===Causes of Abdominal Distension by Organ System===
| |
| {|style="width:80%; height:100px" border="1"
| |
| |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
| |
| |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" |
| |
| [[Abdominal aneurysm]],
| |
| [[Congestive Heart Failure]],
| |
| [[Heart failure]],
| |
|
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Chemical / poisoning'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Congenital'''
| |
| |bgcolor="Beige"|
| |
| [[Congenital hepatic porphyria]],
| |
| [[Congenital megacolon]],
| |
| Congenital short bowel,
| |
| [[Congenital tuberculosis]],
| |
| [[Hirschsprung's disease]],
| |
| Jirásek-Zuelzer-Wilson syndrome,
| |
| [[Meconium]] plug syndrome,
| |
|
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Dermatologic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Drug Side Effect'''
| |
| |bgcolor="Beige"|
| |
| [[Ovarian hyperstimulation syndrome]] [[OHSS]],
| |
|
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Ear Nose Throat'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Endocrine'''
| |
| |bgcolor="Beige"|
| |
| [[Hypothyroidism]],
| |
|
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Environmental'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Gastroenterologic'''
| |
| |bgcolor="Beige"|
| |
| [[Abdominal abscess]],
| |
| [[Acute appendicitis]],
| |
| [[Ascites]],
| |
| [[Biliary Atresia]],
| |
| [[Cirrhosis]],
| |
| [[Colonic volvulus]],
| |
| [[Constipation]],
| |
| [[Diverticulitis]],
| |
| Idiopathic sclerosing mesenteritis,
| |
| [[Ileus]],
| |
| [[Large bowel obstruction]],
| |
| [[Necrotizing enterocolitis]],
| |
| [[Pancreatitis]] and complications (pseudocyst),
| |
| Peritoneal bleeding,
| |
| [[Peritonitis]],
| |
|
| |
|
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Genetic'''
| |
| |bgcolor="Beige"|
| |
| [[Polycystic Liver Disease]],
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Hematologic'''
| |
| |bgcolor="Beige"|
| |
| [[Acanthocytosis]],
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Iatrogenic'''
| |
| |bgcolor="Beige"|
| |
| [[Blind loop syndrome]],
| |
| [[Colonic pseudo-obstruction]] ([[Ogilvie's Syndrome]]),
| |
|
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Infectious Disease'''
| |
| |bgcolor="Beige"|
| |
| [[Helminthiasis]],
| |
| [[Toxic megacolon]],
| |
|
| |
|
| |
|
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Musculoskeletal / Ortho'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Neurologic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Nutritional / Metabolic'''
| |
| |bgcolor="Beige"|
| |
| [[Acute intermittent porphyria]],
| |
| Hepatorenal tyrosinemia]],
| |
| [[Lactose intolerance]],
| |
| [[Overeating]],
| |
|
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Obstetric/Gynecologic'''
| |
| |bgcolor="Beige"|
| |
| [[Ovarian cancer]],
| |
| [[Pregnancy]],
| |
|
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Oncologic'''
| |
| |bgcolor="Beige"|
| |
| [[Granulosa cell tumor]] of the [[ovary]],
| |
| [[Leukemia]],
| |
| [[Lymphoma]],
| |
|
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Opthalmologic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Overdose / Toxicity'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Psychiatric'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Pulmonary'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Renal / Electrolyte'''
| |
| |bgcolor="Beige"|
| |
| [[Nephrotic syndrome]],
| |
|
| |
|
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Rheum / Immune / Allergy'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Sexual'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Trauma'''
| |
| |bgcolor="Beige"|
| |
| [[Abdominal trauma]] with intra-abdominal [[bleeding]],
| |
|
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Urologic'''
| |
| |bgcolor="Beige"| No underlying causes
| |
| |-
| |
| |-bgcolor="LightSteelBlue"
| |
| | '''Miscellaneous'''
| |
| |bgcolor="Beige"|
| |
| Air swallowing (nervous habit),
| |
| Functional gas/constipation,
| |
| Gas/bloat syndrome,
| |
| [[Obesity]],
| |
| [[Umbilical hernia]] or [[ventral hernia]],
| |
|
| |
| |-
| |
| |}
| |
|
| |
|
| ==Diagnosis== | | ==Diagnosis== |