Patient presents with symptoms suggestive of intestinal obstruction, including abdominal pain, distension, nausea, and vomiting.  Onset of symptoms was [duration] ago.  The patient reports [frequency] of vomiting, describing the emesis as [character of emesis - e.g., bilious, feculent].  Bowel sounds are [character of bowel sounds - e.g., absent, high-pitched, tinkling].  Abdominal tenderness is noted [location of tenderness] with [character of tenderness - e.g., rebound, guarding].  The patient's last bowel movement was [timeframe].  Past medical history includes [relevant PMH - e.g., prior abdominal surgery, Crohn's disease, hernia].  Current medications include [list medications].  Allergies include [list allergies].  A working diagnosis of intestinal obstruction is made, with differential diagnoses including ileus, constipation, and volvulus.  Ordered:  abdominal X-ray, complete blood count (CBC), comprehensive metabolic panel (CMP), and lactic acid.  Patient is being placed on NPO status, and IV fluids have been initiated.  Surgical consultation is requested.  The patient's condition will be closely monitored for signs of complications such as bowel perforation or peritonitis.  Plan to consider  CT scan of the abdomen and pelvis with contrast if the initial workup is inconclusive.  Treatment will depend on the cause and severity of the obstruction and may include bowel decompression via nasogastric tube, medical management with bowel rest and IV fluids, or surgical intervention.  Diagnosis codes considered include [ICD-10 codes].