1. Intestinal Obstruction

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

3. Etiology

5. pathophysiology

6. Clinical picture

7. How to diagnose

8. Cont’ how to diagnose

10. How to manage

11. 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