Scribd Logo
Upload

Welcome to Scribd!

  • 44 views

    Mechanical Bowel Obstruction Scaled

    Uploaded by

    ramdani

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd

    Mechanical Bowel Obstruction Scaled

    Uploaded by

    ramdani
    44 views1 page

    Original Title

    Mechanical-Bowel-Obstruction-scaled

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Download as pdf
    44 views1 page

    Mechanical Bowel Obstruction Scaled

    Uploaded by

    ramdani

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Download as pdf
    You are on page 1of 1
    Mechanical Bowel Obstruction and Ileus: Pathogenesis and clinical findings ‘Authors: Yan Yu, Wayne Rosen* Amtimotity Diabetic ——Post- Post abdominal peviowace ta btn bach Besar, Sepsis drugs gastroparesis operation ) surgery Iennifer Au Maroy Roman eee eee eT IMD tne of puiation Nerves coordinating bowel Hemia (ne Adhesions Note: peristaisare disrupted past surgery) + Complete obstruction typically + Congenital abnormality presents with acute abdominal Hews: functional bowel Mechanical obstruction: physal | 6 negpisms Daare eae ‘blockage’, no peristalsis blockage of bowel lumen present with ether acute or a Inflammatory bowel disease (180) Ehvone abdeminal pain Ifcomplete obstruction; —e Obtiaton (oat) & absent bowel movements Gas from swallowed air, bacterial fermentation, & CO2 ‘made via HCO3- neutralization) & ingested gastro- Ifpartial obstruction: —® 4 frequency of bowel movements Intestinal (Gi) contents accumulate before obstruction | Since gas/air sounds hollow to percussion —e Abdomen tympanic to percussion Irritation of autonome nerves Bloating, cramping, anorexia ‘Accumulated Gi contents contain salts and other In visceral pertoneum Diffuse visceral abdominal pain, ‘osmotically active solutes that osmatically draw ‘water into the Gl tract Lower effective arterial blood Flat/low jugular venous pressure IVP), | Velie > dyaton ae rere ‘Severe abdominal pain (may come in waves), yd parca anal toni pig Contiued bowel dsteton & shacocrtrunsts punch —e Peete padre iioty contents against the obstruction Rese ee ‘ luminal pressure over time: obstruction) or absent bowel sounds (ileus) ifobstruction proximal (loser mouth), higher luminal pressure may — Nausea/vomiting Eeeeesiera eae 1 pressure squeezes shut Intestinal blood vessels > = ——> bowel perfusion Bowel ischemia and infarction, tissue necrosis, possible ‘perforation +/- bacterial invasion (see relevant slides) ‘Lagend: Pathophysiology Mechanism Sign/Symptom/Lab Finding Complications | Re Published December 15, 2021 on thecalgaryguide.com

    You might also like