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TODAY’S TEST QUESTION:
CORRECT ANSWER:
A) Get an abdomen X-ray
MORE INFO:
- Getting an abdomen X-ray can help determine if there is a small bowel obstruction.
- GI and or general surgery consult might be a great idea, but getting the results from the X-ray will help determine the next best step.
- Further imaging may be needed if the X-ray of abdomen doesn’t show any acute finds.
- Polyethylene glycol/Fleets enema should not be given until further workup is done.
- The concern here, with the polyethylene glycol specifically, is that it increases the risk for perforation.
- In a sbo-something is preventing the contents from moving down the GI tract.
- Sometimes that blockage has to be removed.
- Some causes of small intestine bowel obstruction: adhesions-most common cause (type of scar tissue-often causes from previous surgeries), hernia, and tumors (1)
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