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Case #2 Patient Profile: A 75 year old male is admitted with nausea and vomiting as well as colicky abdominal pain. He has be

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The patient suffer from paralytic ileus .After the hip surgery the effect of anesthesia and non mobility of person causes decreasing in bowel motility and result in paralytic ileus..It is manifested by nausea,vomiting,abdominal distension,colicky abdominal pain.on auscultation high-pitched tinkle sounds are heard.complication of paralytic ileus are necrosis of the bowel and result in peritonitis and septic shock.in this case the patient manifest features of shock ie hypotension,tachycardia and decreased urine output.

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