What are the common examination findings?
Obs - Signs of infection if perforated
Tender all over
Distension
High pitched tinkling bowel sounds
What are the investigations?
To finish the exam i would like - to do a PR, check the groin for hernia and do urinalysis
By the bed - History and obs
Bloods - FBC, U/E, LFTs and amylase, group and save
Others - ABG, AXR, Erect CXR
What are the key investigation findings?
Signs of dilated bowel on xray
+/- perforation
What is the treatment?
Drip and suck - fluids and NG tube
Analgesia
Surgical input
SCOPE
What causes large or small bowel obstruction
Small
Hernia
adhesions
tumour
Ileus
Large
Tumour
Diverticulitis
Ileus