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Code BRODY @medschoolbro = Mystery Discount 🚨 Uh oh… it’s a bowel jam! Small bowel obstruction = backup in the GI highway. Classic clues: 😣 Crampy abdominal pain 🤢 Vomiting 🚫 No gas or stool 🩻 X-ray: dilated bowel loops air-fluid levels Initial management: 1️⃣ NPO 2️⃣ NG tube decompression 3️⃣ IV fluids electrolyte correction ⚠️ Watch for strangulation red flags: fever, peritonitis, severe pain, lactic acidosis 💊 Add antibiotics if there are signs of ischemia, strangulation, or perforation
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