Flashcards in Intestinal obstruction Deck (10):
What are causes of mechanical intestinal obstruction in small bowel?
Causes of mechanical intestinal obstruction in large bowel?
Describe pathology of a mechanical obstruction?
Bowel above the level of obstruction is dilated, with increased secretion of fluid into the lumen
Symptoms of a mechanical obstruction
Colicky abdominal pain
Signs of mechanical bowel obstruction
Tinkling bowel sounds
Small bowel mechanical obstruction may settle with conservative management, what would such management consist of?
Large bowel mechanical obstruction has to be treated surgically
IV fluids for hydration
What is intussusception?
part of the intestine invaginates (folds into) into another section of intestine,
Describe functional obstruction
What are the two types
Pain not present
Bowel sounds decreased
Gas seen throughout bowel on AXR
Paralytic ileus (absence of peristaltic contractions)
Pseudo-obstruction (mechanical obstruction with no cause found)
Treatment for functional bowel obstruction
Neostigmine (improves muscle tone)