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Laboratories, Diagnostics and Ancilliary Procedure

Laboratories, Diagnostics and Ancilliary Procedure. Diagnostic Plan. Based on the Presenting Signs and Symptoms Scout film of the Abdomen for localization. Look for: Distribution of gas in the intestines Calcifications Tumors Masses Size of Kidney, Liver and Spleen.

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Laboratories, Diagnostics and Ancilliary Procedure

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  1. Laboratories, Diagnostics and Ancilliary Procedure

  2. Diagnostic Plan • Based on the Presenting Signs and Symptoms • Scout film of the Abdomen for localization • Look for: • Distribution of gas in the intestines • Calcifications • Tumors • Masses • Size of Kidney, Liver and Spleen Presence of Air fluid levels Barium Enema for confirmation

  3. Diagnostic Plan • Localization by Barium contrast enema • Colonoscopy and Proctosigmoidoscopy for lower lesions- maybe therapeutic or diagnostic • Endoscopy for upper GI lesions- maybe therapeutic or diagnostic • Identification of the Nature of Obstruction • Malignant/ Non- Malignant • Biopsy and Tissue analysis for Staging • MRI and PET for prognostication • Obstruction due to other causes (foreign bodies, volvulus, diverticulosis)

  4. Diagnostic Plan • Other tests: • Blood studies • Tumor Markers • Laparoscopy and/ or Tumor Resection • Prophylactic A proctosigmoidoscopy is done 4 hours after admission and reveals the ff. at the 18 cm level, scope can not be inserted further biopsies are taken Scout film showing dilated haustrations in bowel obstruction

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