# Small Bowel Obstruction
-- History: *** prior surgeries, h/o constipation, gallstones, hernia, cancer, radiation
-- Clinical/Exam: *** N/V, distention, obstipation, decreased bowel sounds, e/o peritonitis
-- Data: *** KUB, CTAP
-- Etiology/DDx: *** SBO, ileus, pesudo-obstruction
The patient's HPI is notable for ***. Exam showed ***. Labwork and data were notable for ***. Taken together, the patient's presentation is most concerning for ***, with a differential including ***.
-- KUB vs CTAP
-- NPO with NGT decompression if sxs
-- IVF: ***
-- Avoid constipating meds (opioids, anticholinergics, zofran); replete K
-- Consult surgery if evidence of volvulus, ischemia, perforation, or persists 3-5 days
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