1. Visible peristalsis
2. Flabby intestinal musculature
3. Shiny appearance of small bowel wall
4. Visible pulsation in the mesenteric artery
Select the correct answer using the code given below.
Intraoperative Features of Viable Small Bowel
Identifying a viable small bowel during surgery is crucial. Certain features indicate healthy tissue with adequate blood supply and function.
Analysis of Intraoperative Features
Let's examine each feature mentioned:
- 1. Visible peristalsis: This indicates the bowel's smooth muscle is active and functioning, a key sign of viability.
- 2. Flabby intestinal musculature: A flabby or weak intestinal wall suggests poor muscle tone, often associated with ischemia or lack of viability. Healthy bowel should have good tone.
- 3. Shiny appearance of small bowel wall: A healthy serosa gives the bowel a shiny, glistening appearance. Loss of shine can indicate compromised viability.
- 4. Visible pulsation in the mesenteric artery: Pulsations in the mesenteric vessels confirm adequate blood flow to the bowel, which is essential for maintaining viability.
Conclusion on Bowel Viability
Based on the analysis:
- Features 1 (Visible peristalsis), 3 (Shiny appearance), and 4 (Visible pulsation) are indicators of a viable small bowel.
- Feature 2 (Flabby intestinal musculature) suggests poor viability.
Therefore, the correct combination representing intraoperative features of viable small bowel is 1, 3, and 4.
Important Questions from Intestines
- An eight month old male child is brought to the emergency with recurrent episodes of screaming and drawing up of legs. The child appears to be listless in between the attacks. Local examination of abdomen reveals feeling of emptiness in the right iliac fossa and blood stained mucus is found on the finger on per rectal examination. The most probable clinical diagnosis in this child is
Which of the following statements regarding Ogilvie's syndrome are correct?
1. It presents as acute large bowel mechanical obstruction
2. Marked caecal dilatation is a common feature on X-ray abdo- men
3. Caecal perforation is a well recog- nized complication of this condi- tion
4. Intravenous Neostigmine is used for the treatment of this condition
Select the correct answer using the code given below :
- Among the extra intestinal manifesta- tions of Crohn's disease which one of the following is related to the disease activity?
- A 35 year old male patient with enteric fever presents to the emergency with sudden onset of generalised abdominal pain, abdominal distension, nausea, vomiting and constipation for last 48 hours. On examination, patient is dehydrated with PR = $110/min$ and BP = $100/60$ mm Hg. There is genera- lised tenderness, rebound tenderness present and board like rigidity on per- abdomen examination. The most likely complication of enteric fever in this patient is
- An eight month old male child is brought to the emergency with recurrent episodes of screaming and drawing up of legs. The child appears to be listless in between the attacks. Local examination of abdomen reveals feeling of emptiness in the right iliac fossa and blood stained mucus is found on the finger on per rectal examination. The most probable clinical diagnosis in this child is
