Small And Large Bowel Obstruction Flashcards
1
Q
Presentation of bowel obstruction
A
- abdominal pain w/ peristalsis
- distension
- N/V
- constipation
- abnormal sounds
2
Q
Biggest 3 causes of bowel obstruction
A
- adhesions
- hernias
- malignancy
3
Q
What cancer increases the risk of obstruction
A
Colorectal
4
Q
How does volvulus lead to obstruction
A
- loops
- twists
5
Q
Other causes of large bowel obstruction
A
- diverticulitis
- incarcerated hernias
6
Q
List potential cause of small bowel obstruction
A
- adhesions
- intussusception
- inguinal hernia
- GS ileus
7
Q
Why does Peutz-Jeghers syndrome cause small bowel obstruction
A
Gastro polyps
8
Q
Appearance of Peutz-Jegher’s syndrome
A
Brown spots on skin
9
Q
Auscultation findings
A
- tinkling hyperactive sounds
- absent
10
Q
PR findings
A
Empty rectum
11
Q
XR findings
A
- coffee bean —> sigmoid
- embryo —> caecal
12
Q
General Mx of obstruction
A
- anti-emetics
- analgesia
- fluids
13
Q
Small bowel obstruction Mx
A
- fluid
- NG tube
14
Q
Large bowel obstruction Mx
A
- surgical
- laparoscopic resection
- 1ry anastomosis
15
Q
Sigmoid volvulus Mx
A
Decompressed
