Rapid Review: Small Bowel Obstruction

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Causes: adhesions (pelvic surgery) > tumor > hernia (inguinal)
Proximal: bilious vomiting
Distal: feculent vomiting
High pitched bowel sounds
X-ray: dilated bowel, air-fluid levels, “stack of coins” or “string of pearls” sign
Modality of choice: CT
NGT, surgery

Adam Rosh is the founder and CEO of Rosh Review, which he created in 2011. He received his BA and MS from the University of Wisconsin, Madison. He received his medical degree from Rutgers Medical School and completed his emergency medicine residency training at New York University/Bellevue Hospital Center, where he was chief resident. Dr. Rosh went on to serve as assistant residency director and residency director at Detroit Receiving Hospital.

Rapid Review: Small Bowel Obstruction

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