Duodenal atresia differential diagnosis: Difference between revisions

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Revision as of 20:36, 1 January 2018

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
Diseases	Vomiting	Feeding difficulty	Stool present	Bilious vomitus	Abdominal distension	Abdominal tenderness	Dehydrated	Abdominal ultrasound	Abdominal x-ray	Electrolytes	Other Findings
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.

Template:WH Template:WS

[AdamsStanton2014-1] 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.

[MorrisKennedy2016-2] 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.

[pmid10821158-3] 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.

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@@ Line 4: / Line 4: @@
 ==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.
+Duodenal atresia must be differentiated from other diseases that cause persistent [[Nausea and vomiting|vomiting]], and [[Dysphagia|feeding difficulties]], such as [[volvulus]], jejuno-ileal atresia, [[Intestinal malrotation|malrotation]], and [[meconium ileus]]. It is differentiated based on imaging.
 ==Differentiating duodenal atresia from other Diseases==
@@ Line 36: / Line 36: @@
 | style="background: #F5F5F5; padding: 5px;" | +
 | style="background: #F5F5F5; padding: 5px;" | +
-| style="background: #F5F5F5; padding: 5px;" |Gas in stomach with absent gas in small intestine
+| style="background: #F5F5F5; padding: 5px;" |[[Gas]] in [[stomach]] with absent [[gas]] in [[small intestine]]
-| style="background: #F5F5F5; padding: 5px;" |Stomach distension and air fluid levels
+| style="background: #F5F5F5; padding: 5px;" |[[Stomach]] [[distension]] and air fluid levels
 Double bubble sign
-| style="background: #F5F5F5; padding: 5px;" |Hypokalemia
+| style="background: #F5F5F5; padding: 5px;" |[[Hypokalemia]]
-Hyperchloremia
+[[Hyperchloremia]]
-| style="background: #F5F5F5; padding: 5px;" |Down syndrome
+| style="background: #F5F5F5; padding: 5px;" |[[Down syndrome]]
 |-
 | style="background: #DCDCDC; padding: 5px; text-align: center;" |Jejuno-ileal atresia
@@ Line 52: / Line 52: @@
 | 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 (anatomy)|colon]]
-| style="background: #F5F5F5; padding: 5px;" |Stomach and proximal small intestine distension
+| style="background: #F5F5F5; padding: 5px;" |[[Stomach]] and proximal [[small intestine]] [[distension]]
-| style="background: #F5F5F5; padding: 5px;" |Hypokalemia
+| style="background: #F5F5F5; padding: 5px;" |[[Hypokalemia]]
-Hyperchloremia
+[[Hyperchloremia]]
 | style="background: #F5F5F5; padding: 5px;" |
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Volvulus
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Volvulus]]
 | style="background: #F5F5F5; padding: 5px;" | +
 | style="background: #F5F5F5; padding: 5px;" | +
@@ Line 68: / Line 68: @@
 | 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;" |[[Intestinal malrotation|Malrotation]] of intestine with [[gas]] in [[stomach]] 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: #DCDCDC; padding: 5px; text-align: center;" |Meconium ileus
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Meconium ileus]]
 | style="background: #F5F5F5; padding: 5px;" | +
 | style="background: #F5F5F5; padding: 5px;" | +
@@ Line 82: / Line 82: @@
 | style="background: #F5F5F5; padding: 5px;" | +
 | style="background: #F5F5F5; padding: 5px;" | +
-| style="background: #F5F5F5; padding: 5px;" |Distension
+| style="background: #F5F5F5; padding: 5px;" |[[Distension]]
 | style="background: #F5F5F5; padding: 5px;" |Air fluid levels
-| style="background: #F5F5F5; padding: 5px;" |Hypokalemia
+| style="background: #F5F5F5; padding: 5px;" |[[Hypokalemia]]
-Hyperchloremia
+[[Hyperchloremia]]
-| style="background: #F5F5F5; padding: 5px;" |Cystic fibrosis
+| style="background: #F5F5F5; padding: 5px;" |[[Cystic fibrosis]]
 |}

Duodenal atresia differential diagnosis: Difference between revisions

Revision as of 20:36, 1 January 2018

Overview

Differentiating duodenal atresia from other Diseases

References

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