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Surgery - Oral Exam - Small Bowel Obstruction with correct answers 2024 $12.49
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Exam (elaborations)

Surgery - Oral Exam - Small Bowel Obstruction with correct answers 2024

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  • Surgery - Ora
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  • Surgery - Ora

Small Bowel Obstruction (SBO) - Initial Patient Presentation correct answers - Bloating / Abdominal Distention - Constipation - Obstructive Symptoms such as nausea and vomiting Patients with acute small bowel obstruction (SBO) typically present with ___ followed by constipation, abdominal dis...

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  • August 21, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Surgery - Ora
  • Surgery - Ora
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HopeJewels
Surgery - Oral Exam - Small Bowel
Obstruction

Small Bowel Obstruction (SBO) - Initial Patient Presentation correct answers -
Bloating / Abdominal Distention
- Constipation
- Obstructive Symptoms such as nausea and vomiting

Patients with acute small bowel obstruction (SBO) typically present with ___ followed by
constipation, abdominal distension / bloating and obstructive symptoms (nausea and
vomitin). correct answers Obstipation (not passing gas)

Most common etiologies of SBO are: correct answers - Adhesions (previous abdominal
surgeries or inflammatory processes)
- Encarcirated or strangulated ventral hernias
- Malignancy
- Strictures

Conditions that might have similar presentations than SBO: correct answers - Large
bowel ostruction
- Small bowel volvulus
- Constipation
- Ileus

Initial Assessment correct answers I would first assess the patient's general
appearance and vital signs and determine if there is any need for immediate
resuscitation. Patients may present acutely ill from dehydraton and electrolyte
derangements (from poor oral intake and fluid loss) and/or bowel compromise.

If the patient is acutely unstable: correct answers Immediate resuscitation is required
by performing 2 large bore IV and LR fluid resuscitation.

HPI correct answers I would start by taking an HPI, including the onset, location, and
character of the pain, and any associated symptoms.

SBO - HPI - Assessing the patient if its clinically obstructed and severity? correct
answers - Obstipation (not passing gas), Last flatus?
- Last Bowel Movement?
- Abdominal distensions/ bloating?
- Nausea / vomiting? (If so, bilious emesis?)
- Inability to tolerate oral intake?
- Abdominal pain (and severity)?

, SBO - HPI - Timing correct answers - Onset, duration, progression of symptoms; any
prior episodes (and what was the cause)?

SBO - HPI - Assess for common etiologies correct answers - History of Hernia or if a
hernia is present
- Adhesions (prior abdominal surgeries)

SBO - HPI - Associated Symptoms correct answers - Symptoms associated with
gastroenteritis (fevers/chills, recent illnesses, diarrhea)
- Symptoms associated with hypovolemia (lightheadedness/dizziness,
syncope/presyncope, low urine output)

Gastroenteritis can predispose to ___. correct answers Ileus

Ref Flag Symptoms - SBO correct answers - Symptoms associated with cancer (weight
loss, night sweats, blood in stool)
- Timing of last colonoscopy (if age appropriate), personal or family history of cancer or
inflammatory bowel disease

SBO - Past Medical History correct answers - Hernia
- Malignancy
- SBO
- IBS

SBO - Past Surgical History correct answers - Previous abdominal surgeries (increase
risk for adhesions)
- Prior hernias repairs

Medications that cause constipation correct answers Loperamide
Opiods

SBO - Family History correct answers Family history of colorectal cancer

SBO - Social History correct answers Tobacco use

SBO - ROS correct answers I would perform a 14 a point review of systems focusing
on the cardiac, pulmonary, and constitutional systems.

SBO - Exam correct answers I would perform a comprehensive head to toe physical
exam, focusing on the cardiopulmonary and abdominal exams.

SBO - Physical Exam - Vital Signs correct answers - Assess vital signs, general
appearance (if in acute distress of toxic appearing, increse concern for bowel
compromise), heart, lungs

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