Metab.docx

2. An obstruction of the intestine is a blockage that completely stops or seriously impairs the passage of intestinal contents 3. also known as acute cholangitis or simply cholangitis, is inflammation of the bile duct (cholangitis), usually caused by bacteria ascending from its junction with the duodenum (first part of the small intestine). It tends to occur if the bile duct is already partially obstructed by gallstones. 4. severe bloating(ABD’L DISTENTION)(TENDERNESS TO PALPATION IN THE PERIUMBILICAL AREA AND RUQ), abdominal pain (INTERMITTENT PERIUMBILICAL CRAMPING PAIN), decreased appetite, nausea, vomiting (2X), inability to pass gas or stool( PASSED SMALL AMT OF FLATUS AND STOOL W/O RELIEF), constipation, diarrhea, severe abdominal cramps, abdominal swelling YELLOW-MANIFESTED BY PT 5. Pain on the upper right side or upper middle part of the abdomen (INTERMITTENT PERIUMBILICAL CRAMPING PAIN) ,It may also be felt in the back or below the right shoulder blade. ...Fever(37.8) and chills., Dark urine and clay-colored stools., Nausea and vomiting(2X)., Yellowing of the skin (jaundice), which may come and go.