Diferencia entre revisiones de «Bezoar»
(Created page with "==Background== *Mass within the gastrointestinal system *Made up of organic or inorganic material *Commonly from eating hair or indigestible materials *Risk factors include...") |
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==Background== | ==Background== | ||
[[File:Gray1046.png|thumb|Stomach anatomy]] | |||
*Mass within the gastrointestinal system | *Mass within the gastrointestinal system | ||
*Made up of organic or inorganic material | *Made up of organic or inorganic material | ||
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*Risk factors include intellectual disability or emotional disturbance | *Risk factors include intellectual disability or emotional disturbance | ||
*More common females aged 10 to 19 years of age | *More common females aged 10 to 19 years of age | ||
===Risk Factors=== | |||
*Gastric dysmotility | |||
*Gastric outlet obstruction | |||
*[[Dehydration]] | |||
*Medications | |||
**[[Anticholinergic]] | |||
**[[Opiates]] | |||
===Types of Bezoars=== | |||
*Food boluses | |||
*Lactobezoar (seen in premature infants receiving formula) | |||
*Pharmacobezoars (medications, especially overdoses of sustained-release medications | |||
*Phytobezoars (indigestible plant material) | |||
*[[trichotillomania|Trichobezoar]] (hair) | |||
{{FB types}} | |||
==Clinical Features== | ==Clinical Features== | ||
*Indigestion | |||
*[[Abdominal pain]] | |||
*[[Nausea and vomiting]] | |||
*[[Diarrhea]] | |||
*[[gastric ulcer disease|Gastric ulcers]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Abdominal Pain DDX Epigastric}} | |||
*See [[Nausea and vomiting]] | |||
==Evaluation== | ==Evaluation== | ||
==Management== | ==Management== | ||
*Removal either endoscopically if small but may require surgical removal when large | |||
==Disposition== | ==Disposition== | ||
==See Also== | ==See Also== | ||
*[[Ingested foreign body]] | |||
==External Links== | ==External Links== | ||
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==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:GI]] | |||
Revisión actual - 12:03 23 abr 2022
Background
- Mass within the gastrointestinal system
- Made up of organic or inorganic material
- Commonly from eating hair or indigestible materials
- Risk factors include intellectual disability or emotional disturbance
- More common females aged 10 to 19 years of age
Risk Factors
- Gastric dysmotility
- Gastric outlet obstruction
- Dehydration
- Medications
Types of Bezoars
- Food boluses
- Lactobezoar (seen in premature infants receiving formula)
- Pharmacobezoars (medications, especially overdoses of sustained-release medications
- Phytobezoars (indigestible plant material)
- Trichobezoar (hair)
Foreign Body Types
- Ear foreign body
- Nasal foreign body
- Ocular foreign body
- Aspirated foreign body
- GI
- Soft tissue foreign body
Clinical Features
- Indigestion
- Abdominal pain
- Nausea and vomiting
- Diarrhea
- Gastric ulcers
Differential Diagnosis
Epigastric Pain
- Gastroesophageal reflux disease (GERD)
- Peptic ulcer disease with or without perforation
- Gastritis
- Pancreatitis
- Gallbladder disease
- Myocardial Ischemia
- Splenic Infarctionenlargement/rupture/aneurysm
- Pericarditis/Myocarditis
- Aortic dissection
- Hepatitis
- Pyelonephritis
- Pneumonia
- Pyogenic liver abscess
- Fitz-Hugh-Curtis Syndrome
- Hepatomegaly due to CHF
- Bowel obstruction
- SMA syndrome
- Pulmonary embolism
- Bezoar
- Ingested foreign body
- See Nausea and vomiting
Evaluation
Management
- Removal either endoscopically if small but may require surgical removal when large