Strangulation And Adhesions

Question 1

CF of strangulation

Answer 1

Increase abdominal pain
Not getting controlled by medicine
Increase total leucocyte count

Question 2

Strangulation finding in CECT

Answer 2

Reduced bowel wall enhancement means 11 times higher chance of strangulation

Question 3

Absence of mesentric fluid in CECT

Answer 3

Reduced chance by 6 months

Question 4

Most common cause of intestine obstruction

Answer 4

Adhesions
(Small intestine)

Question 5

What is mc obstruction in large intestine

Answer 5

Tumour

Question 6

Adhesions are formed by

Answer 6

Post surgery

Question 7

Non surgical causes of bowel adhesions

Answer 7

TB
crohn
Pelvic inflammatory disease
Endometriosis
Post radiotherapy

Question 8

Clinical futures

Answer 8

Cardinal signs

Question 9

Management

Answer 9

Gastrograffin study

Question 10

Which intestinal obstruction can be maintained conservatively

Answer 10

Adhesive obstruction (48-72 hrs)

Question 11

Surgery for adhesions

Answer 11

Adhesolysis

Question 12

If recurrent adhesive obstruction

Answer 12

Nobles plication
Charles philip procedure