Showing posts with label intestinal obstruction. Show all posts
Showing posts with label intestinal obstruction. Show all posts
Wednesday, 5 October 2011
Complete mechanical small bowel obstruction can cause dehydration by:
A. Interfering with oral intake of water.
B. Inducing vomiting.
C. Decreasing intestinal absorption of water.
D. Causing secretion of water into the intestinal lumen.
E. Causing edema of the intestinal wall
Answer: ABCDE
DISCUSSION: One of the most important events during simple mechanical small bowel obstruction, loss of water and electrolytes from the body, is caused mainly by intestinal distention. Distention may produce reflex vomiting. Distention causes intestinal secretion. Distention causes decreased absorption.
Wednesday, 5 October 2011 0
Tuesday, 4 October 2011
History and physical examination permit the diagnosis of intestinal obstruction in most cases. Which of the 
following are important for the clinical diagnosis of small bowel obstruction?
following are important for the clinical diagnosis of small bowel obstruction?A. Crampy abdominal pain.
B. Fever.
C. Vomiting.
D. Abdominal distention.
E. Leukocyte count above 12,000.
F. Abdominal tenderness.
Answer: ABCDF
DISCUSSION: History and physical examination permit the diagnosis of intestinal obstruction. Any patient having crampy abdominal pain, vomiting, obstipation, abdominal distention, abdominal tenderness, and peristaltic rushes should be managed for intestinal obstruction until the diagnosis can confidently be excluded.
Tuesday, 4 October 2011 1
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