Final answer:
The management of a patient with a stage I malignant melanoma who presents with abdominal distension, nausea/vomiting, and radiographic evidence of small bowel obstruction would involve prompt medical intervention.
Step-by-step explanation:
In this case, the patient with a stage I malignant melanoma who presents with abdominal distension, nausea/vomiting, and radiographic evidence of small bowel obstruction would require prompt medical management. Small bowel obstruction occurs when there is a blockage in the small intestine, preventing the passage of food and fluids. The primary goal of management would be to relieve the obstruction and treat the underlying cause.
Treatment options may include:
- Non-surgical interventions such as bowel rest, nasogastric decompression, and IV fluid administration.
- Surgical intervention if conservative measures fail or if the obstruction is caused by a mechanical obstruction (e.g., adhesions, tumor, hernia).
- Management of complications such as infection, electrolyte imbalances, or bowel perforation.
It is important for the healthcare team to perform a thorough evaluation, including physical examination, imaging studies, and laboratory tests, to determine the cause of the small bowel obstruction and tailor the management accordingly.