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Bowel obstruction and perforation Questions with correct answers.
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Bowel obstruction and perforation Questions with correct answers.
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Bowel obstruction and perforation Questions withcorrect answers
What are the causes of bowel obstruction? Correct Answer- - adhesions
- hernias
- malignancy
- volvulus
- diverticular disease
- strictures
- intusussception
What are adhesions? Correct Answer- - pieces of scar tissue that bind
the abdominal contents together
- cause kinking or squeezing of the bowel which lead to obstruciton
What are the causes of adhesions? Correct Answer- - abdominal or
pelvic surgery (particularly open surgery)
- peritonitis
- abdominal or pelvic infections (e.g., pelvic inflammatory disease)
- endometriosis
What is a closed loop obstruction? Correct Answer- - closed-loop
obstruction describes a situation where there are two points of
obstruction along the bowel
, - meaning that there is a middle section sandwiched between two points
of obstruction.
When can a closed loop obstruction occur? Correct Answer- -
adhesions
- hernias
- volvulus
- iliocaecal valve
What occurs in a closed loop obstruction? Correct Answer- - bowel
will expand and there will be ischaemia and perdoration
What is the presentations of bowel obstruction? Correct Answer- -
vomiting (particularly green bilious vomiting)
- abdominal distention
- diffuse abdominal pain
- absolute constipation and lack of flatulence
What is heard on auscultation with a bowel obstruction? Correct
Answer- - "Tinkling" bowel sounds may be heard in early bowel
obstruction
What is the investigations for an obstruction? Correct Answer- - X-ray
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