Ileus physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Physical examination of patients with ileus is usually remarkable for abdominal distension, abdominal tenderness, and minimal or absent bowel sounds. Patients with prolonged ileus may progress to develop peritoneal signs such as rigidity, guarding and rebound tenderness.
Physical Examination
Physical examination of patients with ileus is usually remarkable for abdominal distension, abdominal tenderness, and minimal or absent bowel sounds.[1][2]
Appearance of the Patient
Patients with ileus usually appear fatigued.
Vital Signs
- Tachycardia with regular pulse
- Low blood pressure with normal pulse pressure (uncommon)
- Orthostatic hypotension
Abdomen
Abdominal examination of patients with ileus includes:
- Abdominal distention
- Abdominal tenderness (severe cases)
- Hypoactive or absent bowel sounds
- Absent succussion splash
- Tympanic on percussion
- Peritoneal signs suggests intestinal perforation such as:
- Rigidity
- Guarding
- Rebound tenderness
References
- ↑ Massey RL (2012). "Return of bowel sounds indicating an end of postoperative ileus: is it time to cease this long-standing nursing tradition?". Medsurg Nurs. 21 (3): 146–50. PMID 22866434.
- ↑ Felder S, Margel D, Murrell Z, Fleshner P (2014). "Usefulness of bowel sound auscultation: a prospective evaluation". J Surg Educ. 71 (5): 768–73. doi:10.1016/j.jsurg.2014.02.003. PMID 24776861.