Distinguishing Between Paralytic vs Mechanical Ileus Paralytic Ileus - Medical history: Frequent ulcer or gallstone pains or other abdominal complaints, appendicitis, extrauterine gravidity - Onset: Sudden (perforation) or gradual (laparotomy) depending on the underlying disease - Pain: May not be present depending on underlying disease - Meteorism: Diffuse, very obvious - Peristalsis: None (complete stasis) - General condition: Highly affected, frequent shock Mechanical Ileus - Medical history: History of carcinoma, gallstones, hernias, previous laparotomy - Onset: Always gradual - Pain: Generally colicky - Meteorism: Reversal - Peristalsis: Increased, intestinal stasis - General condition: Slightly affected, no shock #Paralytic #Mechanical #Ileus #comparison
