Case List History Objectives Radiology Images Questions SMALL INTESTINE AND APPENDIX Case #6 - A 64 year old with sepsis and abdominal distension DISCUSSION QUESTIONS: 5.) What are the differences between bowel obstruction and ileus? In paralytic ileus there is less pain, bowel sounds are decreased or absent, and on X-ray, gas is seen in both large and small bowel. This is in direct contrast to small bowel obstruction.
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