Bowel obstruction Flashcards
1
Q
Small bowel obstruction causes
A
Most common
- Adhesions
- Hernias
- Tumours
2
Q
Large bowel obstruction causes
A
Most common
- Diverticulitis
- Tumours
- IBD–> strictures
3
Q
Signs and symptoms
A
Adbo pain
- Colicky= bowel trying to overcome obstruction
- Constant main= complicated obstruction, as ischaemia of tissue occus
Adbo distention
Absence of flatus
Absent/ tinkling bowel
Constipation
Vomiting
4
Q
Complications
A
Abdominal distention
- Pressure on diaphragm= resp problems
Bowel ischaemia
Vomiting
- Hypovolaemia, loss of electrolyes
5
Q
Examinations/ investigations
A
PR
Blood tests
- Regular work, esp U+E
CT, MRI, X-Ray
6
Q
Surgical management
A
Resection
- Mass/ ischaemic bowel
Stenting
- Bowel obstruction
Colostomy/ ileostomy
Adhesion removal
Revascularisation
