intestinal obstruction Flashcards
causes of small bowel obstruction
adhesions
hernias
causes of large bowel obstruction
colon cancer
constipation
diverticular stricture
volvulus
rarer causes of intestinal obstruction
Crohn's stricture gallstone ileus intussusception TB foreign body
what happens in Hirschsprung’s disease?
bowel is dilated due to lack of ganglion cells –> no bowel movement –> obstruction
signs of intestinal obstruction
tinkling bowel sounds vomiting colic constipation abdominal distension
what does throbbing pain indicate?
pus in an organ
if there is bile in the vomit, what does that tell you about an intestinal obstruction?
that it is beyond the duodenum
complications of intestinal obstruction?
sepsis
bowel ischaemia
bowel perforation
diagnosis of intestinal obstruction
XR, CT, MRI, or US
treatment of intestinal obstruction
IV fluids to rehydrate and correct electrolyte imbalances
analgesia (but not NSAIDs as they may sit in intestine and cause fibrosis)
surgery
endoscopic decompression
treat underlying cause
sign of pyloric stenosis
projectile vomiting
what is obstipation?
absolute constipation
