Condition Info - BotMed Application

ConditionName

Ileus

ConditionDescription

Temporary arrest of intestinal peristalsis

Symptoms

Generalized abdominal pain; 
Bloating; 
Abdominal distension; 
Vomiting; 
Constipation; 
Cramps; 
Anorexia;

PhysicalFindings

Tympany on precision; no bowel sounds;

ClinicalTests

Clinical evaluation;
Sometimes x-rays;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

Abdominal surgery;
Intraperitoneal or retroperitoneal inflammation (eg, appendicitis , diverticulitis , perforated duodenal ulcer );
Retroperitoneal or intra-abdominal hematomas (eg, from ruptured abdominal aortic aneurysm , blunt abdominal trauma );
Metabolic disturbances (eg, hypokalemia );
Drugs (eg, opioids, anticholinergics, sometimes calcium channel blockers);
Sometimes renal or thoracic disease (eg, lower rib fractures , lower lobe pneumonias , myocardial infarction );

TreatmentOptions

IV fluids;
nothing by mouth;
After 1 week --> laparotomy;

PharmOptions

WebLink

https://www.merckmanuals.com/en-ca/professional/gastrointestinal-disorders/acute-abdomen-and-surgical-gastroenterology/ileus