Increased bowel sounds: Difference between revisions

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==[[Increased bowel sounds overview|Overview]]==


== Differential Diagnosis ==  
==[[Increased bowel sounds pathophysiology|Pathophysiology]]==


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>
==[[Increased bowel sounds causes|Causes]]==


* [[Abscess]]
==[[Increased bowel sounds differential diagnosis|Differentiating Increased bowel sounds from other Diseases]]==
* [[Acute gastroenteritis]]
* Adhesions (from previous surgery)
* Benign etiologies
* [[Carcinoid syndrome]]
* Colonic-pseudo obstruction
* [[Crohn's disease]]
* [[Diarrhea]]
* Foreign body
* [[Gallstone]] [[ileus]]
* [[Hernia]]s
* [[Hiatal hernia]]
* [[Infection]]
* [[Intussusception]]
* [[Lactase deficiency]]
* [[Malabsorption syndrome]]
* Mechanical [[bowel obstruction]]
* [[Neoplasm]]s
* [[Peutz-Jeghers syndrome]]
* Succussion splash
* [[Volvulus]]


== History and Symptoms ==  
==[[Increased bowel sounds risk factors|Risk Factors]]==
* Complete history is critical


== Physical Examination ==
==[[Increased bowel sounds natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
* Complete physical including rectal exam
*:* Vitals (for dehydration and fever)
*:* Sounds ascultated before palpation
=== Abdomen ===
* Exam should include hernia orifices and signs of incarceration and strangulation


== Laboratory Findings ==  
==Diagnosis==
* [[Complete blood count]] ([[CBC]])
* [[Calcium]]
* [[Glucose]]
* [[Amylase]]
* [[Blood urea nitrogen]] ([[BUN]])/[[creatinine]]
* [[Liver function test]]s ([[LFT]]s)
* [[Lipase]]
* [[Urinalysis]]


=== Electrolyte and Biomarker Studies ===
[[Increased bowel sounds history and symptoms|History and Symptoms]] | [[Increased bowel sounds physical examination|Physical Examination]] | [[Increased bowel sounds laboratory findings|Laboratory Findings]] | [[Increased bowel sounds CT|CT]] | [[Increased bowel sounds other diagnostic studies|Other Diagnostic Studies]]
* [[Electrolyte]]s
 
=== X-Ray ===
* X-rays (flat and upright) are useful for urinalysis
 
=== MRI and CT ===
* Etiology is demonstrated best by abdominal [[CT scan]]
 
=== Other Diagnostic Studies ===
* Enteroclysis helps to determine degree of obstruction
 
== Treatment ==
* Volume replacement of electrolytes and fluids
* No oral intake (partial obstructions)
* IV fluids (partial obstructions)
* Nasogastric decompression for partial bowel obstructions
 
=== Surgery and Device Based Therapy ===
* Complete [[bowel obstruction]] usually requires surgical intervention
 
== References ==
{{Reflist|2}}


==Treatment==


[[Increased bowel sounds medical therapy|Medical Therapy]] | [[Increased bowel sounds surgery|Surgery]] | [[Increased bowel sounds prevention|Prevention]]


==Case Studies==
[[Increased bowel sounds case study one|Case #1]]


[[Category:Gastroenterology]]
[[Category:Gastroenterology]]

Revision as of 14:44, 29 November 2012

Increased bowel sounds

Increased Bowel Sounds Microchapters

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Overview

Pathophysiology

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Natural History, Complications and Prognosis

Diagnosis

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Laboratory Findings

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CT

MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Overview

Pathophysiology

Causes

Differentiating Increased bowel sounds from other Diseases

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | CT | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Prevention

Case Studies

Case #1


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