Clinical manifesations associated with smal bowl obstruction include all of the following except:
- A- persistent vomiting @ metabolic disturbance.
- B- passage of flatuse @stool.
- C- abd distribution @ paralyatic ileus.
- D- Dehydration @ electrolytes imbalance.
The answer is C. Abdominal distention and paralytic ileus.
While abdominal distention is a common symptom of small bowel obstruction, paralytic ileus is the absence of bowel sounds due to a functional problem, not a mechanical blockage like small bowel obstruction.
Here's a breakdown of all the options:
A. Persistent vomiting and metabolic disturbance:
Both are common symptoms of small bowel obstruction as the blockage prevents food and fluids from passing through the digestive system, leading to dehydration and electrolyte imbalances.
B. Passage of flatus and stool:
While it's less common, passing small amounts of gas and stool can occur in the early stages of small bowel obstruction, especially if the blockage is partial.
C. Abdominal distention and paralytic ileus:
As mentioned earlier, paralytic ileus is not a symptom of small bowel obstruction, which is a mechanical blockage. Abdominal distention, however, is a common symptom as the blocked bowel becomes distended with gas and fluids.
D. Dehydration and electrolyte imbalance:
These are common complications of small bowel obstruction due to vomiting, diarrhea, and inability to absorb fluids and nutrients.
Therefore, while both abdominal distention and paralytic ileus can cause abdominal bloating, only abdominal distention is associated with small bowel obstruction due to the mechanical blockage.
