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Decreased Bowel Sounds

Hypoactive Bowel Sounds


Presentation

  • Nursing Care Plans, presented in a case-study format, emphasize patient goals and outcomes and end with Critical Thinking Questions to develop your clinical decision-making skills.[books.google.de]
  • Tenderness on palpation of the kidney or in the costovertebral angle is frequently present. It is not unusual for the bowel sounds to be hypoactive and an ileus to be present clinically and radiographically.[urologystone.com]
  • Return to Contents Clinical Considerations: Atypical Clinical Presentation A. Atypical clinical presentation related to the position of the appendix The incidence of atypical clinical presentation of appendicitis ranges from 30 - 45% (4).[meddean.luc.edu]
  • Acute abdominal pain is a common presenting complaint in older patients. Presentation may differ from that of the younger patient and is often complicated by coexistent disease, delays in presentation, and physical and social barriers.[aafp.org]
Myxedema
  • Poisoning No underlying causes Dental No underlying causes Dermatologic No underlying causes Drug Side Effect Radiation to the abdomen , Phenothiazines , Opiates , Antihistamines , Anticholinergic drugs Ear Nose Throat No underlying causes Endocrine Myxedema[wikidoc.org]
  • This can occur in such conditions as paralytic ileus, advanced intestinal obstruction, gangrene of the bowel, enterocolic ulceration, myxedema, and spinal cord injury.[medical-dictionary.thefreedictionary.com]
Gangrene
  • Perforated gastric ulcer , Perforated gall bladder , Perforated diverticulum , Paralytic ileus , Pancreatitis , Overexpansion of the bowel , Mesenteric artery occlusion, Mechanical intestinal obstruction , Intestinal ischemia , Hernia , Hemoperitoneum , Gangrene[wikidoc.org]
  • This can occur in such conditions as paralytic ileus, advanced intestinal obstruction, gangrene of the bowel, enterocolic ulceration, myxedema, and spinal cord injury.[medical-dictionary.thefreedictionary.com]
Abdominal Guarding
  • guarding, rebound, tenderness and appear very ill (patients with peritonitis) Laboratory Findings Complete blood count ( CBC ) Liver function tests ( LFTs ) Glucose Amylase Blood urea nitrogen ( BUN ) / creatinine Calcium Lipase Urinalysis Electrolyte[wikidoc.org]
  • Clinically, the patient had an almost asymptomatic abdomen with only a slight tenderness but no abdominal guarding and lively bowel sounds.[medcraveonline.com]
  • guarding Abdominal mass Peptic Ulcer Disease (PUD) Incidence increases with age More likely to be taking both Rx and OTC NSAIDs Smoking, heavy alcohol intake Empirical anti-ulcer therapy without endoscopy not suggested Greater risk of malignant ulcer[my.ilstu.edu]
Abdominal Mass
  • […] assistant because of… Acute abdominal pain Abdominal distention Vomiting Signs of shock Labs, Studies and Physical Exam Findings Diffusely tender abdomen Rigid or distended abdomen Possibly an abdominal mass Plain abdominal x-ray – may show air fluid[physicianassistantexamreview.com]
  • Abdominal masses may possibly be felt but even a large mass may be missed in a grossly distended abdomen. If strangulation or perforation occurs there will be features of an acute abdomen with peritonism. Check hernial orifices.[patient.info]
  • mass Management Hernias should have referral to a surgeon.[my.ilstu.edu]
Lower Abdominal Pain
  • . – Teresa Chan (Managing Editor) Clinical Scenario: A 60-year-old female presented to the emergency department with a 24 hour history of lower abdominal pain. The pain had increased in intensity over the past day and was 7/10 on presentation.[canadiem.org]
Uremia
  • Obstetric/Gynecologic Ruptured ectopic pregnancy , Pelvic Inflammatory Disease Oncologic Tumor Ophthalmologic No underlying causes Overdose/Toxicity No underlying causes Psychiatric No underlying causes Pulmonary No underlying causes Renal/Electrolyte Uremia[wikidoc.org]
  • Uremia.* Dehydration.* Hypercalcemia.* Hypokalemia. Hyponatremia. Depression Chronic illness. Anorexia. Immobility. Antidepressants. Inability to increase intra-abdominal pressure Emphysema.[cancer.gov]

Workup

  • It also isn't real useful because most things you hear/feel will be nonspecific and will require further workup.[forums.studentdoctor.net]
  • , Campylobacter , and infectious colitis), complete blood count, and electrolyte profile.[ 30 ] This workup and treatment is also considered for patients who progress to grade 3 or 4 diarrhea while taking loperamide.[cancer.gov]

Treatment

  • Treatment should not be based solely on bowel sounds Treatment specific to underlying etiology For those patients with ileus , bowel rest and IV hydration Ambulation is suggested Correct electrolytes Discontinue use of constipating drugs Nasogastric[wikidoc.org]
  • […] acute colitis I came in to see my physician assistant because of… I have had colitis and now I am extremely sick Fever Severe hypovolemia Abdominal distention Labs, Studies and Physical Exam Findings Abdominal tenderness Serial abdominal plain x-ray Treatment[physicianassistantexamreview.com]
  • Placing clips in high-risk areas to better define the location or former location of the tumor and aid in radiation treatment planning. Modification of treatment sequencing.[cancer.gov]
  • Painful Gas And Bloating Treatment Essays About Digestive System iBS due to Liver Qi Stagnation.[coach-prowokator.eu]

Prognosis

  • PMID: 9787321 Prognosis Louie PK, Basques BA, Bitterman A, Shah S, Patel K, Abramchayev I, Lewin J Am J Orthop (Belle Mead NJ) 2017 Mar/Apr;46(2):E124-E130.[ncbi.nlm.nih.gov]
  • Prognosis Prognosis for ileus in the critically ill is based on underlying cause. However, delay in enteral nutrition has been shown to increase morbidity and trend to mortality.[cancertherapyadvisor.com]
  • ] The prognosis of advanced carcinoma of the colon remains poor.[patient.info]
  • However, prognosis is much worse, if PVG is detected with PI.[medcraveonline.com]
  • Medication use, gallstones, and alcohol use increase the risk of pancreatitis, and advanced age is an indicator of poor prognosis for this disease.[aafp.org]

Etiology

  • Studies Electrolytes MRI and CT CT scan (abdominal) may be indicated Echocardiography or Ultrasound Ultrasound may be indicated for gynecologic concerns Treatment Treatment should not be based solely on bowel sounds Treatment specific to underlying etiology[wikidoc.org]
  • [from HPO ] Etiology Curr Gastroenterol Rep 2017 Jun;19(6):28. doi: 10.1007/s11894-017-0566-9. PMID: 28439845 Lam DJ, Lee JZ, Chua JH, Lee YT, Lim KB J Pediatr Orthop B 2014 Jul;23(4):312-8. doi: 10.1097/BPB.0000000000000050.[ncbi.nlm.nih.gov]
  • An understanding of the physiology of pain and basic anatomy is essential in the evaluation of abdominal pain, but determination of an etiology can be difficult owing to overlapping symptoms in pathologic processes and to the variable response of individuals[my.ilstu.edu]
  • Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'.[icd10data.com]
  • […] additional clues regarding etiology.[cancer.gov]

Epidemiology

  • Epidemiology of pediatric inflammatory bowel disease: A systematic review of international trends”. Inflammatory Bowel Disease 2011; 17 (1), 423–439. Castro M., Papadatou B., Baldassare M., Balli F. et al.[ragazzicoraggiosi.it]
  • Epidemiology In one recent study, 16% of patients developed ileus while in the ICU. Approximately 300,000 patients undergo surgery for small bowel obstruction each year, most being secondary to adhesive disease.[cancertherapyadvisor.com]
  • Epidemiology of constipation in children and adults: A systemic review. Best Practice & Research Clinical Gastroenterology, 25, 3-18 Online Oxford Dictionary. (2013).[rch.org.au]
  • Epidemiology Of all patients admitted to hospital with intestinal obstruction, most have small intestinal obstruction. Significant numbers of colorectal malignancies present with obstruction.[patient.info]
  • Epidemiology The age of onset, incidence, and gender predominance vary among the given causes. Alcohol abuse and viral hepatitis cause most cases.[my.ilstu.edu]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology Ileus mechanism is complex but thought to be multifactorial, including stress induced sympathetic (inhibitory) reflexes, inflammatory mediators and effects of medications.[cancertherapyadvisor.com]
  • Pathophysiology Certain motility and sensory abnormalities are found in IBS patients as a group, and these distinguish them from healthy individuals: 1.[my.ilstu.edu]
  • [PUBMED Abstract] Mercadante S: Diarrhea in terminally ill patients: pathophysiology and treatment. J Pain Symptom Manage 10 (4): 298-309, 1995.[cancer.gov]

Prevention

  • Health Promotion boxes provide key information on staying healthy and preventing disease, with tips on wellness from Healthy People 2010.[books.google.de]
  • Families can consider talking with a pharmacist pre-operatively to discuss best management prior to surgery to prevent constipation.[rch.org.au]
  • The NG tube is fastened to the patient using a nose clip, and is taped and pinned to the patient’s gown to prevent accidental removal of the tube and to prevent the tube from slipping from the stomach area into the lungs.[opentextbc.ca]
  • These tips can help you treat and prevent bowel sounds. If you’re concerned your bowel sounds signify something more serious, speaking with your doctor will surely help you clear up any concerns.[belmarrahealth.com]
  • Bloating is the third highest side effect Bump like seed online I understand that it sounds a little bit counterproductive to eat onions to prevent belly bloat and gas when onions are often the source of pretty nasty indigestion Swelling hands and feet[coach-prowokator.eu]

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