study_ing
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the most important factor to determine in a given case where u suspect bowel obstruction is to determine whether its simple or strangulated...this will make u choose btw the opion
A) n/g tube, NPO etc etc
vs
B laporotomy
( remember laxatives are always the wrong answer here)
so what wud one look for to decide simple vs compliccated?
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| study_ing
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ok first hint..we have to look for signs of systemic inflammatory response syndrome.
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| sheeezooo
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A?
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| tolito
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signs like shock, fever, leucocytosis make you suspect a strangulation. pain is also likely to be continuos rather tahn colicky. as condition progresses to bowel infarction and gangrene, the cliniacl condition will worsen.
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