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Intestinal Obstruction done (cause (Vascular obstruction (gangrene (hernia…
Intestinal Obstruction done
cause
Neurologic, Adynamic
paralytic ileus
gallstone ileus
meconium ileus
spinal cord injuries
post ab/ Gi surgery
peritonitis
wound dehiscence
Vascular obstruction
injury
gangrene
volvulus,
compormise blood lfow
no physical obstruction
hernia strangulation
external hernia
inguinal
femoral
umbilical
incisional
internal hernias
various patterns
congenital abnormalities
surgical defect in mesentery
consitpation
foreign body
adhesion
ab inflammatory process
peritonitis
leading cause of small bowel obstruction
previous surgery
stricture
neoplasm tumor
benign or malignant
luminal occlusion / extrinsic compression
S/S
sequestration of gas and fluid
distension
pressure on diaphragm
↓ resp volume
atelectasis
pneumonia
circulation obstruction
↓ venous return
inestinal bowel wall edema
↑ capillary permeability
peritonitis
fever
release of toxin
fever
↓ nutrient absorption
↓ carbohydrate
ketosis
compression on mesenteric artery
bowel necrosis
colicky ab pain
anorexia
vomiting
dehydration
shock