A 45-year-old male patient attended the ER complaining of abdominal pain and vomiting of 1 day duration. He underwent an appendectomy at the age of 18 years. Physical examination revealed normal vital signs, mild tenderness around the appendectomy scar and abdominal distension with a resonant percussion note and high- pitched bowel sounds. All his blood tests were normal. Abdominal X-rays showed multiple air-fluid levels and dilated small bowel loops. Which of the following is true about this condition?
سؤال مجاني 5 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. Dilated bowel loops are highly suggestive of bowel obstruction (together with the clinical picture)
Dilated bowel loops with air-fluid levels, together with the clinical picture, suggest bowel obstruction, so C is true. Why the others are false:
- A: pain, not obstipation, is the earliest symptom.
- B: air beyond the obstruction (e.g., in the rectum) means the obstruction is partial, not complete.
- D: many SBOs, especially adhesive ones, settle with conservative drip-and-suck treatment.
- E: fever is not one of the cardinal features.
- المصدر
- Bowel obstruction - Afnan.pdf · p. 15
Bowel obstruction - Afnan.pdf · p. 24
Bowel obstruction - Afnan.pdf · p. 35 - المحاضرة
- Bowel obstruction · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 45 Q59