Surgical Abdomen

Question 1

Bowel obstruction | Clinical features, Differentials & Management

Answer 1

N&V, loss of appetite, BNO (unable to pass stool or wind), colicky abdo pain, distension
Tinkling bowel sounds

[Differentials]
Volvulus
Strangulated hernia
Diverticulitis
Mesenteric ischaemia
Bowel cancer
Perforation, SBP

[Management]
Call for SENIOR HELP
1. Check obs
2. Oxygen if low sats
3. IV fluids
4. NG tube; for decompression
5. NBM
6. IV analgesia
7. Bloods & imaging
8. SURGICAL REVIEW