Small Bowel Obstruction Flashcards

1
Q

small bowel obstruction

A

obstruction in small bowel

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2
Q

causes

A

adhesions - surgery from years ago
hiatus hernia
post-operative ileus - recent surgery

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3
Q

signs

A
abdominal pain
billious vomiting
not passing stool
tinkling on auscultation
empty rectum
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4
Q

investigations

A

x-ray

CT

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5
Q

management

A

ABCDE
fluids and NG tube
emergency surgery

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6
Q

when do you admit for emergency surgery

A

if there are signs of peritonitis

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7
Q

signs of peritonitis

A

guarding or rigidity in abdomen

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8
Q

complication of surgery

A

peutz-jegher’s syndrome

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9
Q

signs of peutz-jegher’s syndrome

A

pigmented lesions on oral mucosa, palms and plantar surfaces

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