Ileus physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
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Overview
Physical Examination
- Physical examination of patients with ileus is usually remarkable for abdominal distension , abdominal tenderness, and minimal or absent bowel sounds.
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