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PHYSICAL
EXAMINATION
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With obstruction bowel sounds hyperactive
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Tenderness over affected section of bowel
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DIAGNOSIS
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Often made on clinical grounds
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CBC - will not always see leukocytosis
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MANAGEMENT
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Spontaneous resolution common with
low-grade fever, mild
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leukocytosis, and minimal abdominal pain
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Treat at home with limited physical
activity, reducing fluid
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intake, and oral antibiotics (bactrim DS
bid or cipro 500mg
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bid & flagyl 500 mg tid for 7-14
days)
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Treatment is usually stopped when
asymptomatic
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Patients who present acutely ill with
possible signs of systemic
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peritonititis,, sepsis, and hypovolemia
need admission
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