intestinal obstruction

Question 1

signs and symptoms associated with intestinal obstruction

Answer 1

abdominal colics
nausea and vomiting
inability to pass flatus and stool
abdominal distention
loss of appetite

Question 2

x ray findings in intestinal obstruction

Answer 2

multiple air fluid levels
dilated bowel loops

Question 3

management of intestinal obstruction caused by cancer

Answer 3

1- fluid resuscitation
2- conservative measures
3- stents
4- surgical intervention

Question 4

when should surgical intervention bee considered in intestinal obstruction

Answer 4

if the obstruction does not improve after 4 to 5 days of decompression

Question 5

what is the treatment for pre-terminal patients with refractory obstruction caused by cancer

Answer 5

1 - NG suction to alleviate abdominal pain
2- opioids for pain
3- anticholinergics
4- reduce nausea and vomiting with chlorpromazine
5- metcolpramide
6- haloperidol - nausea and delirium
7- dexamethasone

Question 6

what are the contraindications to using metoclopramide ?

Answer 6

complete intestinal obstruction
cannot be used with anticholinergics
patients with colic

Question 7

what drug can be used to help in the removal of NG tube

Answer 7

octeotride

Question 8

drug used when other medications have failed to reduce nausea and vomiting

Answer 8

olanzapine