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16 Possible Causes for Hypokalemia, Small Bowel Obstruction, Tympanitic Abdomen

  • Small Bowel Obstruction

    Hypovolemic (from vomiting) Hypochloremic (from vomiting) Hypokalemia (from vomiting) Alkalosis (from vomiting) What must be ruled out on physical exam in pts with SBO?[] Hyperbaric oxygen introduction to the small bowel may relieve low grade forms of small bowel obstruction.[] Bowel Bowel dilates proximal to obstruction Flatus and Bowel Movement s cease Dehydration results from Vomiting, minimal absorption, and bowel edema Metabolic Alkalosis and Hypokalemia[]

  • Intestinal Obstruction

    It is exacerbated by electrolyte disorders, particularly hypokalemia. Symptoms are similar to that of mechanical obstruction.[] Abstract The objective of this research was to study changes in parameters, characterizing endogenous intoxication in patients with acute small bowel obstruction with Reamberin[] Lower intestinal obstructions cause metabolic acidosis due to impaired bicarbonate ion reabsorption, which is further aggravated by hypokalemia.[]

  • Sigmoid Volvulus

    Distention may compromise Respiratory & cardiac function Tympanitic abdomen, Abdominal distention /- palpable mass Diagnosis - Abdominal plain films usually diagnostic Inverted[] Hypokalemia associated with sigmoid volvulus. Surg Gynecol Obstet 1966; 123: 35-42. Friedlander E.[] In the large bowel it is known as a volvulus. In the small bowel it is simply known as small bowel closed loop obstruction.[]

  • Ileus

    Radiologically, the abdomen shows gasfilled loops of intestine with multiple fluid levels 10.[] The etiologies of ileus are numerous, ranging from inflammation (pancreatitis) to metabolic (hypokalemia) to drugs (opiates).[] Small bowel obstruction defined as mechanical obstruction of small bowel due to adhesions, mass, volvulus or other internal or external compression.[]

  • Gastric Volvulus

    She was discharged home the first time with antiemetics, but it was decided to admit her at the second ED visit as she had laboratory abnormalities significant for severe hypokalemia[] Small bowel obstruction is a common clinical problem presenting with abdominal distention, colicky pain, absolute constipation and bilious vomiting.[] Her working diagnosis upon admission was acute pancreatitis and small bowel obstruction due to a preliminary workup that showed an elevated lipase (1,800 U/L) as well as a[]

  • Large Bowel Obstruction

    Followinglaparotomy –smallbowel- 24h, stomach- 48h, colon- 3-5d •Inflammatione.g. pancreatitis •Thoracicconditions e.g. pneumonia, # ribs•Systemicdisorders e.g. sepsisintrabadmonal, hypokalemia[] Small bowel obstruction is a management conundrum - who needs urgent intervention and who should be observed?[] His abdomen was distended, tympanitic to percussion, and nontender. Bowel sounds were quiet, but present.[]

  • Paralytic Ileus

    Radiologically, the abdomen shows gasfilled loops of intestine with multiple fluid levels 10.[] We describe a 60 year man with 2 year history of recurrent paralytic ileus attributed to recurrent hypokalemia.[] In mechanical obstruction, the obstruction may be partial or complete, may occur in the proximal part of the small bowel (high obstruction) or in the distal part of the small[]

  • Colonic Pseudo-Obstruction

    While PD K losses often contribute to hypokalemia, the PD K loss was estimated to be only 39 mEq/day.[] In comparison with nine patients who underwent colectomy for STC without colon dilatation, those in the CPO group had a lower incidence of small bowel obstructions (0% vs[] The physical exam is remarkable for a distended, tympanitic abdomen, hypoactive bowel sounds, and sometimes fever and abdominal tenderness.[]

  • Volvulus

    abdomen Abdominal distention /- palpable mass Diagnosis Abdominal plain films usually diagnostic Inverted U-shaped appearance of distended sigmoid loop Largest and most dilated[] Laboratory studies demonstrated leukocytosis, hypokalemia, and prerenal azotemia.[] Owing to its rarity, it is seldom entertained as a differential for small bowel obstruction.[]

  • Left-sided Appendicitis

    Plain films were obtained and showed a dilated, air-filled stomach; routine labs revealed mild hypokalemia with a hypochloremic metabolic alkalosis, and were otherwise normal[] Initial abdominal plain films suggested small bowel obstruction.[] With the patient adequately undressed and comfortable, systematically examine the abdomen - inspection, percussion (abdomen may be tympanitic in bowel obstruction), palpation[]

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