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21 Possible Causes for Abdominal Guarding, Pallor, Pelvic Hematoma

  • Ectopic Pregnancy

    There were 87.8% patients was had pallor, 9.4% were admitted with features of shock. Cervical motion tenderness (82.2%) was the most frequent sign.[] In absolute emergency situations, a patient may present with severe tenderness, abdominal rigidity, involuntary guarding and signs of hypovolemic shock as well.[] Pallor. Abdominal distension. Enlarged uterus. Tachycardia and/or hypotension. Shock or collapse.[]

  • Splenic Rupture

    Pain in the upper left abdominal quadrant, hypotension, pallor, tachycardia and abdominal distention are main symptoms.[] […] pain, especially in the left upper quadrant ( LUQ ), possible abdominal guarding Kehr's sign : referred pain in the left shoulder Ballance's sign: dullness on percussion[] Following the CT, the radiologist immediately called with preliminary results concerning for splenic laceration and hematoma with hemorrhagic abdominal and pelvic ascites[]

  • Hemoperitoneum

    Significant findings on clinical examination were marked pallor, gross abdominal distension with doughy feel, and forniceal fullness on vaginal examination.[] […] pain and distention with associated diffuse tenderness and guarding.[] […] formed by the intra-pelvic medial migration of the K wire.[]

  • Leaking Aortic Aneurysm

    Tenderness to palpation was present in the right iliac fossa, as well as guarding in this area.[] Abdominal examination revealed a soft abdomen with a prominent mid-line laparotomy scar.[] A leaking abdominal aortic aneurysm was the first concern and the appropriate management followed.[]

  • Ectopic Pregnancy with Intrauterine Pregnancy

    […] pain Bruising, hematoma, possible accompanying injuries Painless vaginal bleeding Differential diagnosis Findings PCOS Amenorrhea, oligomenorrhea, as well as breakthrough[] SIGNS • Pallor: moderate to severe • Shock signs: • Low BP 90/60 mmHg • Weak pulse • Raised pulse rate 110/min • Raised RR 20 • Sweating • Cold skin • Tender distended abdomen[] Findings such as hypotension and marked abdominal tenderness with guarding and rebound tenderness suggest a leaking or ruptured ectopic pregnancy.[]

  • Liver Hematoma

    On examination, she was found to have mild pallor, and a tender hepatomegaly.[] Abdominal examination presented tenderness, guarding and rebound in all quadrants.[] Some causes of hematomas are as pelvic bone fractures, fingernail injuries (subungual), bumps, passing blood clots, blood clot in the leg ( DVT ), blood cancers, and excessive[]

  • Bleeding from an Ectopic Pregnancy

    […] pain Bruising, hematoma, possible accompanying injuries Painless vaginal bleeding Differential diagnosis Findings PCOS Amenorrhea, oligomenorrhea, as well as breakthrough[] Signs General examination: Rapidly developed shock, with pallor, sweating, air hunger, rapid thready pulse and hypotension.[] Lower abdominal pain and guarding Vaginal bleeding Signs of pregnancy : amenorrhea, nausea, breast tenderness, frequent urination Tenderness in the area of the ectopic pregnancy[]

  • Hypovolemic Shock

    Excessive perspiration Vomiting Symptoms Symptoms may include: Anxiety or agitation Cool, clammy skin Confusion Decreased or no urine output General weakness Pale skin color (pallor[] , guarding, bruising pattern of Grey, Turner sign and Cullen’s sign Signs of gastrointestinal bleeding: blood in the nose, mouth, throat or rectum (rectal examination).[] […] in the left retroperitoneal space and pelvic cavity.[]

  • Volvulus

    The physical examination revealed hypoactive bowel sounds and diffuse abdominal tenderness with rebound; there was no fever, abdominal rigidity, or guarding.[] Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[] Abdominal exam is notable for diffuse abdominal tenderness to palpation, without rebound or guarding.[]

  • Puerperium

    Look for conjunctival pallor. Look for palmar pallor. If pallor: Is it severe pallor? Some pallor?[] Even after delivery, the relaxed and thinned abdominal muscles may not respond actively with guarding or board-like rigidity often seen with peritoneal inflammation.[] Differential diagnosis See the list below: Ovarian vein syndrome Pyelonephritis Appendicitis Broad ligament hematoma Adnexal torsion Pelvic abscess Enigmatic fever Drug fever[]

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