Ileus Quiz: Ace Your Exams
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A 64-year-old man on the surgical floor has new-onset abdominal discomfort and bloating 48 hours postoperatively following a right hemicolectomy. His surgery was uncomplicated. He has been unable to pass flatus and stool since the procedure. Heart rate is 110/min, blood pressure is 100/56 mmHg, respiratory rate is 20/min, and temperature is 37.2 °C (99.0 °F). On examination, bowel sounds are diminished. The abdomen is mildly tender, distended, and tympanic to percussion. A peripheral IV is placed with administration of IV fluids. Which of the following is the most appropriate next step in management?
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