Duodenal atresia differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
Hamid Qazi (talk | contribs) No edit summary |
Hamid Qazi (talk | contribs) |
||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
Duodenal atresia must be differentiated from other diseases that cause persistent vomiting, and feeding difficulties, such as volvulus, jejuno-ileal atresia, and | Duodenal atresia must be differentiated from other diseases that cause persistent vomiting, and feeding difficulties, such as volvulus, jejuno-ileal atresia, malrotation, and meconium ileus. It is differentiated based on imaging. | ||
==Differentiating duodenal atresia from other Diseases== | ==Differentiating duodenal atresia from other Diseases== | ||
Revision as of 19:46, 28 December 2017
|
Duodenal Atresia Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Duodenal atresia differential diagnosis On the Web |
|
American Roentgen Ray Society Images of Duodenal atresia differential diagnosis |
|
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: Hamid Qazi, MD, BSc [2]
Overview
Duodenal atresia must be differentiated from other diseases that cause persistent vomiting, and feeding difficulties, such as volvulus, jejuno-ileal atresia, malrotation, and meconium ileus. It is differentiated based on imaging.
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 | Stomach distension and air fluid levels
Double bubble sign |
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.