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103 Possible Causes for Abdominal Guarding, Periumbilical Pain

  • Appendicitis

    CASE REPORT A 13-year-old Hispanic female presented at the emergency room with anorexia and left upper-quadrant abdominal pain with involuntary guarding.[ncbi.nlm.nih.gov] Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[step2.medbullets.com] Responses that may indicate appendicitis include Guarding. Guarding occurs when a person subconsciously tenses the abdominal muscles during an examination.[web.archive.org]

  • Acute Pancreatitis

    On abdominal exam, he has involuntary guarding and tenderness to palpation in the right upper quadrant and epigastric regions.[medbullets.com] […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[aafp.org] […] examination Abdominal tenderness, distention, guarding Ileus with reduced bowel sounds and tympany on percussion Ascites Skin changes (rare) Cullen's sign : periumbilical[amboss.com]

  • Mesenteric Infarction

    […] of patients recover and do not progress beyond this phase Paralytic phase Shock phase Acute abd omen with abdominal guarding and rebound tenderness Signs of septic shock[amboss.com] Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com] Pain is the most consistent symptom, which begins with cramping, periumbilical pain due to small bowel ischemia, which evolves into tenderness to palpation with transmural[epmonthly.com]

  • Chronic Pancreatitis

    Gall stones and chronic pancreatitis: the black box in between M-X Yan 1, 2, Y-Q Li 1 1 Department of Gastroenterology, Shandong University Qilu Hospital, Shandong Province, China 2 Department of Gastroenterology, Shandong University School of Clinical Medicine, Shandong Qianfoshan Hospital, Shandong Province, China[…][doi.org]

  • Meckel Diverticulitis

    guarding and distension, vomiting, obstipation Causes: Volvulus (with persistent fibrous band), torsion, foreign body, Littre’s Hernia (inclusion in hernia sac), inversion[learningradiology.com] The most common initial presentation is a periumbilical, gnawing pain that migrates within a few hours to the right iliac fossa.[surgwiki.com] Per abdominal examination revealed guarding with right iliac fossa tenderness. On auscultation bowel sounds were absent.[mjdrdypu.org]

  • Hemoperitoneum

    […] pain and distention with associated diffuse tenderness and guarding.[westjem.com] Abdominal palpation revealed generalised tenderness with no guarding or palpable contraction.[hindawi.com] Physical examination showed generalized abdominal tenderness with significant rebounding pain and muscle guarding.[academic.oup.com]

  • Umbilical Hernia

    The diagnosis of an abdominal hernia is clinical.[msdmanuals.com] We report a case of a painful periumbilical mass ultimately diagnosed as an infected urachal cyst.[ncbi.nlm.nih.gov] Diagnosis The diagnosis of an abdominal hernia is clinical.[merckmanuals.com]

  • Mesenteric Artery Thrombosis

    Physical examination documented tachycardia and a soft, non-rigid abdomen with voluntary guarding.[ncbi.nlm.nih.gov] Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com] A 62 year-old African American man presented with periumbilical abdominal pain, nausea and bilious, non-bloody vomiting for two days.[medcraveonline.com]

  • Small Bowel Obstruction

    Severe direct tenderness, involuntary guarding, abdominal rigidity, and rebound tenderness suggest advanced SBO, as do marked leukocytosis, neutrophilia, bandemia, and lactic[ncbi.nlm.nih.gov] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com] […] without rebound or guarding.[medbullets.com]

  • Pancreatic Abscess

    Other physical findings are nonspecific and include abnormal vital signs consistent with sepsis, abdominal guarding, and rebound tenderness.[odlarmed.com] The sequence is typical: periumbilical or epigastric reference of pain at onset, followed by a shift to the right lower quadrant after a few hours.[atsu.edu] […] examination Abdominal tenderness, distention, guarding Ileus with reduced bowel sounds and tympany on percussion Ascites Skin changes (rare) Cullen's sign : periumbilical[amboss.com]

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