Anonymous
Oct 27, 2023
Qn?
17. A patient in his 7th postoperative day due to ileum perforation secondary to
typhoid fever. The patient was doing well, passing stools and flatus since the 2nd
postoperative day but now the patient has failed in passing stools and flatus
during the last 30 hours, the abdomen is distended, tender and no bowel sounds
are present. The correct decision in the management is:
A. Give laxatives
B. Ambulation
C. Re-exploratory laparotomy
D. Rectal digital examination seeking for fecal impaction
E. Change antibiotic
typhoid fever. The patient was doing well, passing stools and flatus since the 2nd
postoperative day but now the patient has failed in passing stools and flatus
during the last 30 hours, the abdomen is distended, tender and no bowel sounds
are present. The correct decision in the management is:
A. Give laxatives
B. Ambulation
C. Re-exploratory laparotomy
D. Rectal digital examination seeking for fecal impaction
E. Change antibiotic
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ChatGPT
Oct 27, 2023
The correct decision in the management would be C. Re-exploratory laparotomy. This is because the patient's symptoms of distended abdomen, tenderness, and absence of bowel sounds suggest a possible bowel obstruction or ileus. Re-exploratory laparotomy would allow the surgeon to assess the situation and potentially address any complications or obstructions that may be causing the patient's symptoms. Giving laxatives or performing a rectal digital examination would not be appropriate in this case as they would not address the underlying cause of the symptoms. Ambulation and changing antibiotics would also not be the correct management options in this situation.
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