Ileus Flashcards
1
Q
types
A
- gallstone
- paralytic
2
Q
aetiology of gallstone?
A
- gallstone impaction at terminal ileum
- stone causes pressure necrosis of gall bladder wall & goes into small intestine
3
Q
Ix for gallstone ileus?
A
AXR–> SBO, air in biliary tree, stone might be seen
4
Q
Mx for gallstone ileus?
A
enterotomy + stone removal
5
Q
what is paralytic ileus?
A
cessation of peristalsis due to failure of neuromuscular mechansim of intestine
6
Q
presentation of paralytic?
A
as per bowel obstruction
7
Q
causes of paralytic ileus?
A
- post - op following major abdominal surgery
- infective - peritonitis
- trauma
- electrolyte imbalance
8
Q
clinical picture of paralytic ileus?
A
- no pain as no peristalsis
- dead silent abdo
- false shifting dullness
9
Q
Ix for paralytic ileus?
A
- AXR
- dilated small loops of bowel
- CT
- dilated small bowel loops w no transition point
10
Q
Mx for paralytic ileus?
A
- NG tube
- restoration of fluid & electrolyte balance
- treat underlying cause
eventually bowels should regain function
