18. Intestinal obstruction - Level HIGH LOW PAIN Crampy pain in paroxism Less intensity VOMITING Early, profuse, biliary Late, feculent may be absent METEORISM + +++ BEGINNING Acute Slow, insidious ABDOMINAL DISTENTION Moderate, upper quadrant Early, intense GENERAL CONDIT Early compromission preserved ELECTOLYTES Cl, K, Na rapid loss Late hydro electrolytic imbalance
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25. Intestinal obstruction Gas in the small bowel outlines the valvulae conniventes, which usually occupy the entire trasverse diameter of the bowel image Radiological examination Small bowel
26. Intestinal obstruction Colonic haustral marking occupy only a portion of the transverse diameter of the bowel Radiological examination large bowel
27. Intestinal obstruction Radiological examination Typical the small bowel pattern occupies the more central portion of the abdomen, the colon shadow is on the periphery of the abdominal film or in the pelvis
28. Intestinal obstruction Radiological examination During paralytic ileus gaseous distention occurs somewhat uniformly in the stomach, small intestine and colon