Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
High risk small bowel obstruction triage
Airway risk
Persistent vomiting
Reduced level of consciousness
Aspiration risk
Shock physiology
Systolic blood pressure < 90 mmHg
Heart rate > 120 beats/min
Capillary refill delay
Altered mental status
Peritonitis concern
Rebound tenderness
Involuntary guarding
Rigid abdomen
Bowel ischemia concern
Pain out of proportion
Rising lactate
Fever
Leukocytosis
Early decision points
Operative pathway triggers
Immediate surgical consultation for suspected strangulation
Peritonitis
Free intraperitoneal air
Closed loop obstruction on imaging
Pneumatosis intestinalis on imaging
Portal venous gas on imaging
Resuscitation bay escalation criteria
Persistent hypotension after initial fluids
Ongoing severe pain requiring escalating opioids
Progressive metabolic acidosis
Monitoring and access
Monitoring set
Cardiac monitor
Continuous rhythm monitoring for electrolyte related dysrhythmia risk
Pulse oximetry
Target oxygen saturation per comorbidity
Frequent vital signs
15 minute intervals if unstable
Urine output tracking
Target 0.5 mL/kg/hour
IV access plan
Two large bore peripheral IVs for dehydrated patient
Intraosseous access if no rapid peripheral access
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.