Скачать или смотреть SGD On Clinical Approach to Intestinal Obstruction: Diagnosis, X-Ray Interpretation | MBBS

In this interactive clinical tutorial from Santiniketan Medical College & Hospital, we explore the surgical management and diagnostic workflow for Intestinal Obstruction. This session provides a practical guide for the 2023-2024 MBBS batch on differentiating between dynamic (mechanical) and adynamic (functional) obstruction, clinical examination techniques, and radiological interpretation.

What You Will Learn:

Classification of Obstruction: Understanding Dynamic (Mechanical) vs. Adynamic (Functional/Paralytic Ileus) causes [00:30].

Clinical Presentation: Identifying the classic tetrad—Abdominal pain, Vomiting, Distension, and Obstipation (failure to pass flatus/stool) [01:46].

Emergency Management: The "Nal-Jal-Kal" protocol (NG Tube, IV Fluids, and Catheterization) for resuscitation [24:05].

X-Ray Interpretation: * Differentiating Small Bowel vs. Large Bowel via location (Central vs. Peripheral) [17:29].

Identifying Valvulae Conniventes (Step-ladder pattern) vs. Haustrations [18:07].

Clinical significance of Cecal dilatation (3-6-9 Rule) [23:05].

Advanced Diagnostics: When to order a CECT (Contrast Enhanced Computed Tomography) and the importance of checking Urea/Creatinine beforehand [33:01].

Differential Diagnosis: Clinical features of Intussusception, Adhesions, and Malignancy [25:34].

Key Timestamps:

[01:23] Small Bowel vs. Large Bowel obstruction features.

[03:32] Vital signs: Why tachycardia and hypotension occur in late-stage obstruction.

[06:21] Bowel Sound Analysis: Why sounds increase initially and vanish later.

[10:50] The critical role of Per-Rectal (PR) Examination.

[14:18] Essential blood investigations (CBC, Electrolytes, LFT, Creatinine).

[19:12] Cecal Dilatation: Risk of perforation at 6cm.

[28:13] Practical X-Ray Reading session: Identifying Valvulae Conniventes.

[34:11] CT Scan: Identifying the transition point and bowel wall enhancement.


SANTINIKETAN MEDICAL COLLEGE & HOSPITAL
Real Classroom Demonstration/Lecture
On: SURGERY by Dr. Naman Chhabra
(MBBS Batch: 2023-24)
Conducted on: 20-01-25