Page 1 of 2: intestinal obstruction.

doctor_adonis · Credits: 219 My Scrapbook

investigations to be done in case of intestinal obstruction:?
1. x-ray abdomen
2. barium meal
3. upper GI endoscopy
4. CT scan
5. ultrasonography

* barium meal is clearly contraindicated. CT shud not be done in diagnosis is visible on x-ray. what abt the others?

drtuls · Credits: 163 My Scrapbook

plain xray ab is the first investigation to be done.
why would you want to do upper gi endoscopy?any bleeding or stricture? the symptoms will be different. regarding usg-well all i know is that my SR said -this is india, when i had asked him this question.

doctor_adonis · Credits: 219 My Scrapbook

thx buddy. so we will do 1> x-ray abdomen .2> CT scan ( to rule out extraluminal causes?) & lastly3> USG ( well, PGI doesn't gives a damn abt whether u r staying in india or not! they juzz want their answers!!)
thx anyway.

doctorgirl78 · Credits: 5486 My Scrapbook

well.........the version i read in RxPG PGI book and other places was
in pt with int obstruction which of the following inv would be required

..there even for PGI i would go for only x ray............as the answer in the book suggests

scout fimls standing/lying are indicated--bailey
barium contraindicated
upper gi---acute pt---relief of Obs is more imp
usg...with distended bowels????
ct abdo-will nt give u diagnosis of Obs per se:

haan...........if they ask inv to be done in a case without specifying anything else---ct and upper endo could be added to help know the etiology

kaushik2 · Credits: 78845 My Scrapbook My Reading List 262569 Books

x-ray abdomen

veejay · Credits: 78845 My Scrapbook My Reading List 262569 Books

x ray abdomen guys
that is what v do in clinical practice

alam2033 · Credits: 1906 My Scrapbook

xray abdomen in the investigation of choice and the quickest mean to confirm ur diagnosis.obstruction can lead to strangulation and ischemia and decompression or reduction need to be done asap.especially with the charachteristic signs u get on xray abdomen.

indianprince · Credits: 963 My Scrapbook

Dear members,

Wish to add that the X-Ray characteristics are :

1. More than 3 fluid levels on plain X-Ray = indication for operation

2. single large loop filled with gas with apex in left iliac fossa and base in right iliac fossa = Sigmoid volvulus

3. double bubble sign = duodenal atresia

4. sudden cutoff of gas shadow

etc

will keep u posted on further signs.

Keep watching

indianprince · Credits: 963 My Scrapbook

sorry typing mistake

*base of loop in right hypochondrium*

Thx

drsabeen · Credits: 115 My Scrapbook

x ray abd

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