a)Small intestine- adhesion, hernia, gallstone ileus, intussusception

b)Large intestine- tumor, volvulus, fecal impaction

High location- vomiting, intermittent colic pain

Middle location- crescendo colic pain

Low location- fullness, feculent vomiting

PE- high-pitch hyperactive bowel sound, metallic sound, borborygm

X-ray- Fixed bowel gas, stack of coin sign, air-fluid levels, String of beads sign, pneumobilia(gallstone ileus), bent-inner tube sign


Etiology- Peritonitis, surgery, shock, sepsis, hypokalaemia, acetylcholine antagonist, morphine

X-ray- Bowel gas constantly changing

Published by Steve Johnson

I am a doctor who like to organise knowledges and share ideas with others. As a doctor, a lot of knowledges influx everyday and need some patient to organise and absorb. Here was my notes to share with you and hope to save your time to know it.

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