Gastrointestinal Motility Disorders: Paralytic Ileus
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Questions and Answers

What is paralytic ileus characterized by?

  • Inflammation of the gut wall
  • Abnormal gut secretion
  • Gut obstruction due to tumor
  • Abnormal gut motility (correct)
  • What is the main consequence of paralytic ileus?

  • Gut obstruction due to scar tissue
  • Impaired gut motility (correct)
  • Inflammation of the gut wall
  • Increased gut secretion
  • What prevents the coordinated movement of intestinal contents in paralytic ileus?

  • Abnormal gut secretion
  • Gut obstruction due to tumor
  • Disturbances in gut motility (correct)
  • Inflammation of the gut wall
  • What is the result of paralytic ileus on peristalsis?

    <p>Uncoordinated peristalsis</p> Signup and view all the answers

    What is the primary effect of paralytic ileus on intestinal contents?

    <p>Impaired movement downward</p> Signup and view all the answers

    What type of bowel obstruction is characterized by obstruction of a segment of intestine at both ends?

    <p>Closed loop obstruction</p> Signup and view all the answers

    What is the main difference between a closed loop obstruction and other types of bowel obstruction?

    <p>It involves obstruction at two points</p> Signup and view all the answers

    What is the name of the condition in which a segment of intestine is obstructed at two points?

    <p>Closed loop obstruction</p> Signup and view all the answers

    What is the characteristic feature of a closed loop obstruction?

    <p>Obstruction at two points</p> Signup and view all the answers

    What type of bowel obstruction is particularly dangerous?

    <p>Closed loop obstruction</p> Signup and view all the answers

    What is the first classification of etiology?

    <p>Causes in the lumen</p> Signup and view all the answers

    What is the term for causes within the lumen?

    <p>Intraluminal</p> Signup and view all the answers

    What is the second classification of etiology?

    <p>Causes in the wall</p> Signup and view all the answers

    What is the classification of etiology that is not mentioned?

    <p>Causes outside the wall and lumen</p> Signup and view all the answers

    What is the number of classifications of etiology mentioned in the text?

    <p>3</p> Signup and view all the answers

    What may be noted in cases of irreducible external hernia or scar of previous operation?

    <p>Rectal Examination</p> Signup and view all the answers

    What can be observed in the rectal examination of small bowel obstruction?

    <p>It is empty and often ballooned out</p> Signup and view all the answers

    What is the primary purpose of rectal examination in small bowel obstruction?

    <p>To assess the severity of the obstruction</p> Signup and view all the answers

    What is a common symptom of small bowel obstruction?

    <p>Nausea and vomiting</p> Signup and view all the answers

    What is the relationship between small bowel obstruction and rectal examination?

    <p>Rectal examination can diagnose small bowel obstruction</p> Signup and view all the answers

    What is the primary finding on an Erect and Supine abdominal X-ray in a patient with SBO?

    <p>Dilated small bowel (&gt;3 cm in diameter)</p> Signup and view all the answers

    What is the characteristic appearance of small bowel on an Erect and Supine abdominal X-ray in a patient with SBO?

    <p>Step ladder appearance</p> Signup and view all the answers

    What is the significance of absent or minimal colonic gas on an Erect and Supine abdominal X-ray?

    <p>It suggests a small bowel obstruction</p> Signup and view all the answers

    What is the primary advantage of an Erect and Supine abdominal X-ray in diagnosing SBO?

    <p>It can detect the presence of SBO</p> Signup and view all the answers

    What is the diagnosis based on the Erect and Supine abdominal X-ray findings of dilated small bowel and multiple air fluid levels?

    <p>Small bowel obstruction</p> Signup and view all the answers

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