Bowel Obstruction
Objective
Block
MS I
EOM
S & F IV
1. Describe the normal gross
anatomical structure of the
intestinal tract.
2. Describe the microscopic structure
of the intestinal tract.
3. Describe the function of the
intestinal tract, especially intestinal
motility and its regulation
4. Describe changes in intestinal
function with age
1. Demonstrate and understanding of
the pathophysiology and clinical
features of bowel obstruction from
a. Hernias
b. Adhesions
c. Volvulus
d. Intussusception
MS II
D & T IV
Competency
MK1A1
MK1B1
MK1C1
MK1E2
PB1A1
PB1A2
PR1A1
IC1A3
IC1B1
MK2A1
MK2B1
MK2C1
PC2E1
PC2E2
PC2H1
Assessment Method
Block exams
Block exams
MS III
1. Explain the pathophysiologic factors
underlying the clinical
manifestations of bowel obstruction.
2. Use knowledge of pathophysiology
to develop diagnostic and
therapeutic plans for patients with
bowel obstruction.
3. Describe how clinical laboratory
tests are used in diagnosis and
subsequent care in bowel
obstruction.
4. Choose appropriate tests and
management strategies for patients
with bowel obstruction including
medications.
5. Demonstrate effective oral
communication skills with patients
and care team members for patients
with bowel obstruction
6. Obtain appropriately focused and
accurate history in patients of all
ages with clinical manifestations of
bowel obstruction
7. Perform and independent reliable
exam in a patient with bowel
obstruction.
Peds
FM
IM
Surg
MK3B1
MK3C1
MK3D1,
MK3D3
MK3H1
PC3D1
PC3F1
IC3A1
IC3B1
PC3A1
PC3B1
IC3A3
MK3E1
MK3E2
MK3E3
PC3G1
SB3B3
SB3B5
1
Direct observation by
faculty, clerkship
standardized exams,
small group
8. Effectively present findings of
history, physical exam, and
diagnostic test results for a patient
with bowel obstruction.
9. Identify factors that contribute and
predispose patients to the
development of bowel obstruction.
10. Apply principles of clinical
epidemiology to select and evaluate
appropriate prevention strategies in
bowel obstruction.
11. Develop a case management plan
including primary care and
community follow up in bowel
obstruction
MS IV (if participating in these rotations)
1. Describe the pathogenesis of bowel
ER
MK4B1
obstruction.
IM Sub-I
MK4C1
2. Describe the altered function of the
FM Sub-I
MK4D2
gastrointestinal system and how this Peds Sub-I
MK4F1
contributes to bowel obstruction.
Surg Elect
MK4H1
3. Discuss the scientific basis for
PC4B1
laboratory studies utilized in
IC4A3
evaluating a patient with bowel
IC4B1
obstruction.
PB4C2
4. Describe techniques to counsel
PR4I1
patients with bowel obstruction to
facilitate lifestyle changes including
altered diet.
5. Differentiate between alternative
medications for bowel obstruction
based on therapeutic effectiveness
and cost consideration.
6. Effectively perform and present the
findings of a focused history and
physical examination on a patient
with bowel obstruction.
7. Demonstrate teamwork skills and
initiative in managing a patient with
bowel obstruction.
8. Incorporate the principles of quality
improvement to improve the care of
patients with bowel obstruction.
9. Demonstrate empathic caring
relationships with patients with
bowel obstruction.
2
Direct observation &
feedback by preceptor,
written examination