5 days post-appendectomy, a patient developed diffuse abdominal distension, constipation, and absent bowel sounds. Which of the following is the most appropriate next step in manag... 5 days post-appendectomy, a patient developed diffuse abdominal distension, constipation, and absent bowel sounds. Which of the following is the most appropriate next step in management? A. Insert a rectal tube B. Check serum electrolyte level C. Re-exploration of the abdomen D. Abdominal computed tomography
Understand the Problem
The question is asking for the most appropriate management step for a patient who is experiencing symptoms after an appendectomy. The symptoms indicate potential post-operative complications, and the options provided present different management strategies to consider.
Answer
Check serum electrolyte level.
The final answer is B. Check serum electrolyte level.
Answer for screen readers
The final answer is B. Check serum electrolyte level.
More Information
In cases of postoperative ileus, correcting electrolyte imbalances is often prioritized before other interventions. Electrolyte disturbances like hypokalemia can exacerbate ileus.
Tips
A common mistake is to immediately opt for surgical intervention without first considering reversible causes like electrolyte imbalances.
Sources
- Postoperative Ileus - StatPearls - NCBI Bookshelf - ncbi.nlm.nih.gov
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