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Multiple Choice
A silent abdomen 3 hours after bowel surgery most likely indicates which of the following conditions?
A
Gastroenteritis
B
Active peristalsis
C
Normal postoperative recovery
D
Paralytic ileus
Verified step by step guidance
1
Understand the term 'silent abdomen': This refers to the absence of bowel sounds, which can indicate a lack of movement or activity in the intestines.
Recognize the context of the problem: After bowel surgery, the intestines may temporarily stop functioning due to disruption of normal peristalsis. This condition is known as paralytic ileus.
Eliminate incorrect options: Gastroenteritis involves inflammation of the gastrointestinal tract and typically causes increased bowel activity, not silence. Active peristalsis would produce bowel sounds, and normal postoperative recovery would usually involve gradual return of bowel sounds.
Focus on the correct answer: Paralytic ileus is a common condition after bowel surgery, where the intestines temporarily lose their ability to contract and move contents, leading to a silent abdomen.
Relate to clinical significance: Paralytic ileus can result in symptoms like abdominal distension, pain, and nausea. It is important to monitor and manage this condition to prevent complications such as bowel obstruction.