Operative intervention

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‘You are asked to review a 73-year-old woman on a medical ward. She was admitted earlier that day as an emergency with a 48-hour history of vomiting and abdominal pain, and the medical team has seen dilated loops of small bowel on her plain abdominal X-ray. She normally lives independently and has no known medical conditions. She had an appendicectomy and a hysterectomy for the benign disease more than 30 years ago. Outline your initial management of this patient, your differential diagnosis, and how you would determine whether operative intervention is required?’
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