Bowel Obstruction / Irritable Bowel

Question 1

Type of Bowel Obstructions

Answer 1

Mechanical & Non Mechanical

Question 2

Mechanical Bowel Obstructions

Answer 2

Most Common- adhesions, hernia, neoplasms, volvulus, diverticular disease

Question 3

Type of Pain associated with Mechanical Obstructions

Answer 3

Waves of Pain

Question 4

Non Mechanical Bowel Obstructions

Answer 4

paralytic ileus-peritonitis- inflammatory-electrolytes-thoracic/lumbar fractures

Question 5

Types of Pain associated w non mechanical bowel obstructions

Answer 5

generalized pain (most common)

Question 6

Location of Small Bowel Obstructions

Answer 6

Proximal

Distal

Question 7

Proximal small bowel obstruction manifestation

Answer 7

Proximal-rapid onset.
Projectile vomiting relieves pain.
No abd distension

Question 8

Distal small bowel obstruction manifestation

Answer 8

Distal- gradual onset.
Vomiting-color/odor.
Pain persistent, colicky.

Question 9

Assessment of Normal and abnormal bowel sounds

Answer 9

Above obstruction: high pitch
Sounds May be absent
Borborygmu

Question 10

Pain Associated w Strangulation obstruction

Answer 10

rapid onset severe constant pain

Question 11

Pain associated w paralytic ileus

Answer 11

Constant generalized discomfort

Question 12

Pain associated w mechanical obstruction

Answer 12

Waves of pain

Question 13

DX studies of bowel obstruction

Answer 13

H&P
CT Scan
XRAY- (air = performation
Colonoscopy
Sugmoidoscopy
LABs: CBC, CMP, amylase/lipase, BUN, Cr, occult blood

Question 14

What does air on XRay mean?

Answer 14

Perforation

Question 15

collaborative care for small bowel obstruction

Answer 15

o	ER surgery for strangulation OR surgery if no improvement in 24 hours 
o	NPO
o	NG
o	IV
o	Electrolyte replacement
o	Pain Control