Small Bowel Obstruction - Imaging and Labs
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- čas přidán 12. 06. 2024
- How do you work up and diagnose small bowel obstruction?
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Moore's Clinically Oriented Anatomy citizensurgeon.co/Moore
Netter's Anatomical Atlas citizensurgeon.co/Netter
Schwartz Principles of Surgery citizensurgeon.co/Schwartz
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Top Knife (MUST MUST HAVE) citizensurgeon.co/topknife
Now you’ve taken a great history and done your exam, it’s time to order some labs and imaging to clench the diagnosis of SBO and start treating your patient.
Have you watched the video on How to Take a History and Exam in the Patient with SBO? citizensurgeon.co/SBOhistory
Small bowel obstruction is a critical topic in general surgery and if you’re a surgery resident or a medical student you will be called to the emergency room often to diagnose and treat this problem.
In this video today we’re going to build on the information we’ve learned in small bowel anatomy, small bowel physiology and the history and examination of small bowel obstruction. We’re going to get confident with interpreting labs and imaging in the patient with small bowel obstruction.
Important labs in small bowel obstruction include the CBC and BMP, how would expect these to change in a patient with SBO?
Plain films are important in the diagnosis of small bowel obstruction, what are the three films you would order?
What are the findings you would expect on plain films for SBO?
When would you get a CT of the abdomen in a patient with small bowel obstruction?
Check out these AMAZING timestamps and fast forward if you need to:
Start 00:00
Clinical Case 01:20
Labs in the Patient with SBO 03:23
Imaging with the Patient with SBO 09:20
Plain Films in Small Bowel Obstruction 10:50
CT Scan in SBO 14:01
REFERENCES
UpToDate SBO citizensurgeon.co/uptodateSBO
SBO Radiology Review citizensurgeon.co/SBOradiology
Physiology of Metabolic Alkalosis citizensurgeon.co/metlkalosis
Deranged Physiology - Metabolic Alkalosis citizensurgeon.co/metalkalosis2
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WHO AM I?
I'm Dr. Erik Pearson, FACS and I am a board certified pediatric surgeon living in Las Vegas. I make surgical education videos on all topics in general surgery as well as talks on lifestyle design as a surgeon, book reviews, and studying effectively. I also write a weekly newsletter called the Saturday Six where I identify Six different discoveries of the week. You can get the weekly newsletter by signing up to the CITIZENSURGEON Community!
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While my aim is to help educate you for the ward, the surgical ICU, the operating room and your exams remember these videos are not a replacement for your reading, your medical school and residency preparation and most important your own decision making. If you have medical questions definitely consult a medical professional. Good luck and enjoy!
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Watched some of this but of course I understand very little having no medical knowledge! However, I am in awe of the massive amount of material there is to learn and retain and which needs to be recalled in an instant when necessary. And you are only talking about one part of the body here! And then there are all the long complicated words! Just amazing!
Thanks so much for the feedback Nora! As we get further into any field, say classical music, the lingo gets more an more specific. Ostinato for instance 😊 had to look that one up!
Dr. Pearson,
Stumbled across your videos while studying my GI exam for NNP school. I used to work with you in the CHOA NICU so it was so fun to find these! I found this video and the malrotation video extremely helpful! Thanks again for sharing your wealth of knowledge and hope you are doing well!!
Laura! I don’t know how I missed this! So glad we reconnected…where are you in your studies? Still Atlanta? Hope you are well keep crushing it!
Great video!
Thanks so much!
What an amazing teacher.
One time I had a blockage and a few weeks before ER I had really bad chest pain
Thank you for Dr. Pearson for this video! I was just reading SBO on Current and had to look up imaging on youtube. I’m preparing for my observership but yet to find a doctor that could help me.
Awesome I’m pumped this was helpful for you! Good luck on your observership! What other topics do you want to learn about?
Thank you! I’ve always wanted to see a visual presentation regarding the management of blunt abdominal trauma vs penetrating abdominal trauma. 😁
@@sheenaserrano4614 Absolutely, will get that going soon! Thanks for watching and being a part of the community!
Amazing video Dr. Erik
Thanks alot for your effort
I’d like to add radiological findings to supine abdomen radiography
It will give us valuable information regarding the level of small bowel obstruction by identification of dilated jejunum ( plicae circularis) in high small b. Obst. Or dilated ileum ( featureless bowel) and jejunum in low small bowel obstruction
Or even dilated colon in large bowel obstruction
Thank you very much for the added information, absolutely agree
I have an ilyostomy and get small bowel obstruction, what can I do at home?
Dr. Pearson,
my doctor also made surgery but still, I am facing pain.I am facing Small bowl obstruction pain after 2-3 months.
SBO is swelling, should i go for another surgery?.
it is recovering after 2-3 days of IV fluids doses. but how to solve it permanently.
my doctor not suggesting me for CT Scan.They do only ultrasound research sonography. Should i have to go with a CT scan of abdomen?
Pls share more videos for SBO.(like Diet,SBO Cause,risk)
Thanks for Video, very nice and helpful information.
Thanks you for being gracious, have a wonderful day.
I have a question my husband 80 is in a nursing home many things wrong but recently he has paralysis ileus left side he is vomiting and has stomach pain he is treated with a medicine? for it there is little hope with so many others problem heart osteomyelitis spinal cord damage kidney has tube etc. I know he is suffering but no one tells me how long will he suffer before it’s over I worry all the time
I’m so sorry you’re experiencing this with your husband, the only advice I can give and I do give my own patients is to write down all of your questions on a notepad, ask the nurses who is directing the care, and ask them all of your questions. May the days ahead bring comfort and answers to you both.
Do you have any home remedy solutions in regards to constipation or bowel obstruction? Last thing anyone wants to do is go to the hospital. Thank~
While I can’t give medical advice on this platform and I would recommend you see your family doc one common “home remedy” is to stay hydrated…dehydration is a common cause of constipation.
Here is a simple article on hydration and includes a water intake calculator…
www.everydayhealth.com/dehydration/hydration-calculator/
Tudca
Great video!
Thanks so much! Glad you enjoyed it!