Intestinal Obstruction. Classifications Intestinal Obstruction Dynamic/ Mechanical Small BowelLarge Bowel Adynamic/ Ileus - Paralytic - PseusoObs.

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Presentation transcript:

Intestinal Obstruction

Classifications Intestinal Obstruction Dynamic/ Mechanical Small BowelLarge Bowel Adynamic/ Ileus - Paralytic - PseusoObs

Etiology

pathophysiology

Clinical picture

How to diagnose

Cont’ how to diagnose

How to manage

Paralytic ileusLBOSBO +Late, ± feculentEarly, ± biliousNausea, Vomiting Minimal or absentColicky Pain ++++ (proximal), ++ (distal) Distention +++Con-/Ob-stipation ±visible peristalsis Others  or absent  Or Bowel Sounds Air throughout small bowel and colon Air-fluid levels, picture-frame appearance, haustral markings, proximal distention Air-fluid levels, Ladder pattern, valvulae conniventes, proximal distention + no colonic gas AXR Findings

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