How to diagnose intestinal obstruction

Monday, March 31, 2008 · Posted in

Abdominal signs: mechanical intestinal obstruction and intestinal peristalsis often visible wave. Volvulus, abdominal distension and more asymmetric. Paralytic ileus abdominal distension uniform; simple expansion of intestinal obstruction, mild tenderness. Strangulating intestinal obstruction can be fixed tenderness and muscle tension, a small number of sick could touch mass. Roundworm intestinal obstruction often touch on the central abdominal cord-like clumps when there peritoneal exudate, there will be mobile voiced; colic attack, Chang Ming Yin hyperthyroidism. Have a gas water, metal sound. With necrotic bowel obstruction, perforation occurs when peritoneal irritation. Paralytic ileus, the Chang Ming Yin weakened or disappeared.
Low obstruction such as digital rectal examination touched mass may colorectal cancer, the development of intussusception extremely hedging, or colon tumor.
X-ray examination: abdominal X-ray examination in the diagnosis of help from vertical perturbation of the best films, such as the frail not desirable left upright and supine positions. Laboratory examination: blood white blood cell count, hemoglobin, hematocrit were higher Nibichong also increased blood pH, and carbon dioxide combining power decline, reducing serum potassium.
Paroxysmal abdominal cramps, vomiting, abdominal distension, and stop defecation, venting, intestinal, Chang Ming Yin hyperthyroidism, gas, the sound of water is the basis for the diagnosis of intestinal obstruction. Finally, the X-ray examination can confirm that the clinical diagnosis.

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