25 Questions
What is paralytic ileus characterized by?
Abnormal gut motility
What is the main consequence of paralytic ileus?
Impaired gut motility
What prevents the coordinated movement of intestinal contents in paralytic ileus?
Disturbances in gut motility
What is the result of paralytic ileus on peristalsis?
Uncoordinated peristalsis
What is the primary effect of paralytic ileus on intestinal contents?
Impaired movement downward
What type of bowel obstruction is characterized by obstruction of a segment of intestine at both ends?
Closed loop obstruction
What is the main difference between a closed loop obstruction and other types of bowel obstruction?
It involves obstruction at two points
What is the name of the condition in which a segment of intestine is obstructed at two points?
Closed loop obstruction
What is the characteristic feature of a closed loop obstruction?
Obstruction at two points
What type of bowel obstruction is particularly dangerous?
Closed loop obstruction
What is the first classification of etiology?
Causes in the lumen
What is the term for causes within the lumen?
Intraluminal
What is the second classification of etiology?
Causes in the wall
What is the classification of etiology that is not mentioned?
Causes outside the wall and lumen
What is the number of classifications of etiology mentioned in the text?
3
What may be noted in cases of irreducible external hernia or scar of previous operation?
Rectal Examination
What can be observed in the rectal examination of small bowel obstruction?
It is empty and often ballooned out
What is the primary purpose of rectal examination in small bowel obstruction?
To assess the severity of the obstruction
What is a common symptom of small bowel obstruction?
Nausea and vomiting
What is the relationship between small bowel obstruction and rectal examination?
Rectal examination can diagnose small bowel obstruction
What is the primary finding on an Erect and Supine abdominal X-ray in a patient with SBO?
Dilated small bowel (>3 cm in diameter)
What is the characteristic appearance of small bowel on an Erect and Supine abdominal X-ray in a patient with SBO?
Step ladder appearance
What is the significance of absent or minimal colonic gas on an Erect and Supine abdominal X-ray?
It suggests a small bowel obstruction
What is the primary advantage of an Erect and Supine abdominal X-ray in diagnosing SBO?
It can detect the presence of SBO
What is the diagnosis based on the Erect and Supine abdominal X-ray findings of dilated small bowel and multiple air fluid levels?
Small bowel obstruction
This quiz covers the concept of paralytic ileus, a condition characterized by neurogenic failure or functional obstruction of the gut, leading to disturbances in gut motility and preventing coordinated peristalsis.
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