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.
*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>
 
 


===Preferred Table===
===Preferred Table===

Revision as of 18:20, 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]


Preferred Table

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

Pyloric Stenosis + + +/- - - - + Pyloris is enlarged - Hypokalemia

Hyperchloremia

References

  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.
  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.

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