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pres.layout = "LAYOUT_16x9";
pres.title = "Paralytic Ileus";
pres.author = "A Concise Textbook of Surgery";

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const LIGHT_BG  = "F0F4F8";
const TEXT_DARK = "0D2B45";
const GRAY      = "6B7F95";

// ─────────────────────────────────────────────
// SLIDE 1 — TITLE
// ─────────────────────────────────────────────
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}

// ─────────────────────────────────────────────
// SLIDE 2 — DEFINITION
// ─────────────────────────────────────────────
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    { label: "Nerve Plexuses Involved", val: "Myenteric (Auerbach's) between longitudinal & circular muscle layers\nSubmucous (Meissner's) in submucous coat" },
    { label: "Net Result", val: "Accumulation of intestinal fluid & gas → abdominal distension" }
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// ─────────────────────────────────────────────
// SLIDE 3 — TYPES OF PARALYTIC ILEUS
// ─────────────────────────────────────────────
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    {
      num: "01",
      title: "Postoperative",
      sub: "Most common",
      body: "Almost always seen after abdominal surgery. Lasts a limited period of 24-72 hours. Bowel sounds return gradually."
    },
    {
      num: "02",
      title: "Peritonitis",
      sub: "Intra-abdominal sepsis",
      body: "Intra-abdominal sepsis may produce localized or generalized paralytic ileus. Initially neurogenic; later mechanical obstruction may develop due to adhesions."
    },
    {
      num: "03",
      title: "Metabolic",
      sub: "Electrolyte disturbance",
      body: "Occurs in uraemia, hypoproteinaemia and hypocalcaemia. Paralytic ileus may be precipitated."
    },
    {
      num: "04",
      title: "Reflex",
      sub: "Retroperitoneal cause",
      body: "May occur following retroperitoneal haemorrhage, fractures of spine or ribs, or application of a plaster jacket."
    }
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// ─────────────────────────────────────────────
// SLIDE 4 — PATHOPHYSIOLOGY
// ─────────────────────────────────────────────
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    { icon: "🔇", text: "Absence of bowel sounds (silent abdomen)" },
    { icon: "🤢", text: "Vomiting & absolute constipation" },
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// ─────────────────────────────────────────────
// SLIDE 5 — CLINICAL FEATURES & DIFFERENTIATING FROM MECHANICAL OBSTRUCTION
// ─────────────────────────────────────────────
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    ["Distension", "Present", "Present"],
    ["Cause", "Neuromuscular failure", "Mechanical block in lumen/wall"],
    ["Peristalsis", "Absent (paralyzed)", "Exaggerated initially"],
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// ─────────────────────────────────────────────
// SLIDE 6 — MANAGEMENT
// ─────────────────────────────────────────────
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// ─────────────────────────────────────────────
// SLIDE 7 — KEY TAKEAWAYS
// ─────────────────────────────────────────────
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    { num: "1", text: "Paralytic ileus = failure of peristaltic transmission due to neuromuscular failure — not a mechanical block." },
    { num: "2", text: "4 types: Postoperative (most common), Peritonitis, Metabolic, Reflex." },
    { num: "3", text: "Silent abdomen (absent bowel sounds) + distension + vomiting + constipation = classic picture." },
    { num: "4", text: "Differs from mechanical obstruction mainly by ABSENT bowel sounds vs. loud high-pitched sounds." },
    { num: "5", text: "Treatment is primarily conservative: treat the cause, NPO, NG decompression, IV fluids." },
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// ─────────────────────────────────────────────
// WRITE FILE
// ─────────────────────────────────────────────
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