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Surgery Intestinal obstruction d073f164

Which of the following is not a feature of paralytic ileus?

A
Hypoactive bowel sounds
B
Presence of gas in rectum
C
Colicky pain
D
Dilated bowel loops with multiple air fluid levels on X-ray
High-Yield Explanation
Paralytic ileus Failure of transmission of peristaltic waves due to neuromuscular failure. Etiology: Abd Sx Intra-abdominal infection Dyselectrolytemia Drugs Clinical presentation Abdominal distention Vomiting Dilated bowel loops No mechanical obstruction Paralytic ileus Mechanical obstruction Pain is not a feature of paralytic ileus and if present a steady, diffuse discomfo Bowel sounds are hypoactive or absent Presence of gas in colon & rectum in paralytic ileus on abdominal X-ray Pain is colicky in mechanical obstruction Hyperactive bowel sounds in mechanical obstruction Absence of gas in colon & rectum in mechanical (complete) small bowel obstruction

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