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USMLE Step 1 Classic Clues Classic clues seen in clinical case scenarios in USMLE Step 1 questions.

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Old 08-25-2009
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GIT Tinkly bowel sounds + distension

Whenever you see a case of tinkly bowel sounds (exaggerated and sounds like a bell under water) + abdominal distension then think jejunal or ileal obstruction (not dudenal or large bowel).

Common causes in adults include:
  • Hernias
  • Adhesions
  • Tumor
  • Foreign body
  • Meckle's diverticulum
  • Crohn's disease
  • Ascaris infection
  • Midgut volvulus
  • Intussusception
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The above post was thanked by:
acr2503 (08-16-2012), anoop_1198 (05-18-2010), Cairo (12-06-2011), chulady (02-03-2011), misbah.k (02-23-2012), nikhil5001 (02-23-2010), one_destiny (04-23-2012), Pectoralis86 (04-20-2012), prionchatterjee (10-16-2010), renew (08-07-2011), riya10 (08-04-2011), wahaha007 (01-10-2010)


Clinical-Signs, Gastrointestinal-Tract-, Pathology-

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