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]

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