Distinguishing Between Paralytic vs Mechanical Ileus
Paralytic Ileus
- Medical history: Frequent ulcer or gallstone pains or other abdominal complaints, appendicitis, extrauterine gravidity
- Onset: Sudden (perforation) or gradual (laparotomy) depending on the underlying disease
- Pain: May not be present depending on underlying disease
- Meteorism: Diffuse, very obvious
- Peristalsis: None (complete stasis)
- General condition: Highly affected, frequent shock
Mechanical Ileus
- Medical history: History of carcinoma, gallstones, hernias, previous laparotomy
- Onset: Always gradual
- Pain: Generally colicky
- Meteorism: Reversal
- Peristalsis: Increased, intestinal stasis
- General condition: Slightly affected, no shock
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