Bowel Obstruction Flashcards
1
Q
Physical Findings (5)
A
Abdominal Distention High pitched bowel sounds Tenderness & Possible Guarding Possible Hernia Empty rectal vault
2
Q
Etiologies (4)
A
Adhesions from prior surgery
Hernia
Carcinoma
Volvulus
3
Q
Associated Lab Abnormalities (6)
A
Elevated WBC Hemoconcentration (2/2 dehydration) Elevated BUN, Cr, and urine specific gravity HypONatremia HypOKalemia Metabolic Alkalosis
4
Q
Radiographic Studies (3)
A
Flat and Upright Abdomen
CXR
CT with contrast
5
Q
Appropriate Fluids for Resuscitation (2)
A
NS or LR
6
Q
Complications (2)
A
Strangulation and Necrosis
Perforation
