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please interpret pain abd , vomiting 2 days bowel not passed since 2 days flatus not passed since 1 day 50 yrs m USG NAD

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Subacute intestinal obstruction. Get a CECT abdomen to rule out Acute pancreatitis considering colon cut off sign and get s .Amylase and lipase done . Start with conservative treatment with NPO, IV fluids, parenteral antibiotics and if no pancreatitis after investigations. A proctoclyss enema can be given

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Though gas distended bowel loops appeared, there is no presise evidence of multiple fluid levels in small intestine. Could be large bowel obstruction, about to end up in Volvulous Sigmoid!

Sub acute intestinal obstruction

Saio 2nd dd is pancreatitis

Gas under diaphragm shows peritonitis needs laparotomy

Sub acute intestinal obstruction. Multiple fluid levels.

Subacute intestinal obstruction. Get a CECT abdomen to rule out Acute pancreatitis considering colon cut off sign and get s .Amylase and lipase done . Start with conservative treatment with NPO, IV fluids, parenteral antibiotics and if no pancreatitis after investigations. A proctoclyss enema can be given

Intestinal. Obstruction Gas. Distended. Intestinal. Loops.. Multiple. Fluids. Levels..

Colon cutoff sign.Acute Pancreatitis.

A few gas distended intestinal loops with multiple fluid levels. SAIO.

Intestinal obstruction Shadow under left dome of diaphragm

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