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An abdominal X-ray is performed and shown below.
What is the main abnormality observed?
Laboratory blood tests are performed and show:
Hb 120 g/L (115 – 160)
MCV 90 (82 – 100 fl)
PLTs 410 (150 – 400 * 109/L)
WCC 5.2 (4.0-11.0 * 109/L)
Serum Na+ 133 (135 – 145 mmol/L)
Serum K+ 2.9 (3.5 – 5.3 mmol/L)
Urea 4.3 (2.0 – 7.0 mmol/L)
Creatinine 90 (55 – 120 umol/L)
CRP 50 (<5 mg/L)
Which medication would NOT contribute to this abnormal finding?
From the investigations, you suspect a paralytic ileus from hypokalaemia. Although rare, you have excluded any mechanical causes of the obstruction and await a general surgery review.
What important interventions can you initiate in the meantime?
