Question 171 · LEK · Mechanical obstruction

The main symptoms of the large bowel obstruction are:

1) vomiting at the early stage of the disease;
2) alkalosis followed by metabolic acidosis;
3) immobilization of extracellular fluid in the so-called third space;
4) increased concentration of hemoglobin and hematocrit;
5) bowel distension with fluid accumulation.
The correct answer is:
  1. A. 1,2,5.
  2. B. 3,4,5.
  3. C. 1,5.
  4. D. 1,2.
  5. E. 1,4,5.
Hint

Compare high and low obstruction: when does vomiting start, and what dominates the fluid shifts in distal obstruction?

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