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Review Question - QID 104527

Paralytic / Adynamic Ileus Treatment First-line QID: 104527 (M2.GI.15.80)
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QID 104527 (Type "104527" in App Search)
A 28-year-old male on postoperative day 3 from an open appendectomy presents with vomiting and abdominal distension during morning rounds. The patient had an uncomplicated open appendectomy due to perforated appendicitis. The patient received a dose of Cephalexin preoperatively. The patient has not passed gas or stool since the procedure, and has continued to receive morphine for pain management. On physical exam, temperature is 98.6 deg F (37 deg C), blood pressure is 123/89 mmHg, heart rate is 95/min, and respirations are 12/min. Abdominal exam demonstrates a distended, tympanic abdomen, without rebound or guarding. An abdominal radiograph is shown in Figure A. Which of the following is the next best course of action?
  • A
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  • A
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