Bowel obstruction is a common surgical presentation and in the presence of ischaemia carries a mortality up to 40%. What makes the diagnosis? How good are the investigations?Gareth talks to Miss Nicola Eardley, Consultant General and Colorectal Surgeon at Chester, about the important steps in the diagnosis and management from history and examination to imaging and further management.Check out the accompanying post for discussion points and references used in producing this episode.Rate us on iTunes if you liked what you heard and follow us on Twitter @FOAMdation. Please get in touch via www.foamdation.com or email [email protected] if you have any comments or suggestions. If you like what you hear then share us so others can get the benefit too!