Concluded Case

Dilated small bowel loops with edema & Ascities

62 yrs male has been suffering with severe stomach pain nausea Chief Complaints Severe stomach pain Nausea Vomiting Constipation Gastritis Stopped urination History Patient complaints indigestion Loss of appetite Vitals Normal Spo2: 98% PR : 112/min Temp 96°F Physical Examination Weakness Stomach tightness & abdominal pain Investigations Cbc normal RBS 130 mg /dl Amylase Lipase Reports has to come Diagnosis CT abdomen pelvis shows dialated small bowel loops wall edema Small bowel obstruction Minimal Ascities Management Managed with Esomeprazole Dsr Cephalosporin antibiotics IV fluids Drotaverin Given enema Laxatives Now patient is stable Kindly do further evaluation Dx or Rx Thanking Drs

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Concluded answer

Small intestinal obstruction Adv Conservative treatment for 48 hours Intravenous antibiotics, nil oral intake, intravenous fluids supplement If no response to treatment or if there is persistent pain associated with tenderness and guarding and raised WBC count which may indicate gangrene - then immediate surgery is required If after conservative treatment for 48 hours, obstruction is not settled then surgical treatment is required

All Answers

Small intestinal obstruction Adv Conservative treatment for 48 hours Intravenous antibiotics, nil oral intake, intravenous fluids supplement If no response to treatment or if there is persistent pain associated with tenderness and guarding and raised WBC count which may indicate gangrene - then immediate surgery is required If after conservative treatment for 48 hours, obstruction is not settled then surgical treatment is required

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Intestinal obstruction Opinion of surgeon Exploratory lAprotomy

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? DISTAL SMALL BOWEL OBSTRUCTION .. NEED'S .. IMMEDIATE .. SURGICAL INTERVENTION ..

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Correct electrolytes RFT Surgical intervention if not manageable conservatively.

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Small bowel obstruction Ad leprotomy with end to end anastomoses

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Monitor Electrolytes Intestinal Obstruction Surgeon opinion

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