Duodenal atresia differential diagnosis: Difference between revisions
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| style="background: #F5F5F5; padding: 5px;" |Gas in stomach with absent gas in small | | style="background: #F5F5F5; padding: 5px;" |Gas in stomach with absent gas in small intestine (Double bubble sign) | ||
| style="background: #F5F5F5; padding: 5px;" |Stomach distension and air fluid levels | | style="background: #F5F5F5; padding: 5px;" |Stomach distension and air fluid levels | ||
| style="background: #F5F5F5; padding: 5px;" |Hypokalemia | | style="background: #F5F5F5; padding: 5px;" |Hypokalemia | ||
Hyperchloremia | Hyperchloremia | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Down syndrome | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Jejuno-ileal atresia | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Jejuno-ileal atresia | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Spiral sign | ||
| style="background: #F5F5F5; padding: 5px;" |Malrotation of intestine with gas in stomach and air fluid levels | | style="background: #F5F5F5; padding: 5px;" |Malrotation of intestine with gas in stomach and air fluid levels | ||
| style="background: #F5F5F5; padding: 5px;" |Hypokalemia | | style="background: #F5F5F5; padding: 5px;" |Hypokalemia | ||
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Hyperchloremia | Hyperchloremia | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Cystic fibrosis | ||
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Revision as of 19:19, 28 December 2017
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Duodenal Atresia Microchapters |
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Duodenal atresia differential diagnosis On the Web |
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Risk calculators and risk factors for Duodenal atresia differential diagnosis |
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 intestine (Double bubble sign) | Stomach distension and air fluid levels | Hypokalemia
Hyperchloremia |
Down syndrome |
| Jejuno-ileal atresia | + | + | +/- | + | + | + | + | Gas in stomach with no gas in colon | Stomach and proximal small intestine distension | Hypokalemia
Hyperchloremia |
|
| Volvulus | + | + | +/- | + | + | + | + | Spiral sign | Malrotation of intestine with gas in stomach and air fluid levels | Hypokalemia
Hyperchloremia |
|
| Meconium ileus | + | + | +/- | + | + | + | + | Distension | Air fluid levels | Hypokalemia
Hyperchloremia |
Cystic fibrosis |
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.