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191 Possible Causes for Abdominal Pain, Abdominal Tenderness, Periumbilical Pain

  • Appendicitis

    Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[step2.medbullets.com] Compared to the no appendicolith group, the appendicolith group demonstrated more prolonged abdominal pain ( 48 hours) before the ED visit (23.1% vs. 11.5%; P 0.013), clinical[ncbi.nlm.nih.gov] Physical examination revealed an abdominal tenderness in the right lower quadrant without rebound tenderness or muscular tension.[ncbi.nlm.nih.gov]

  • Intestinal Obstruction

    Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com] This was associated with cyclical lower abdominal pains, abdominal swelling, and weight loss.[ncbi.nlm.nih.gov] Physical examination revealed bloating, absence of bowel sounds, abdominal tenderness, and a palpable mass in right hemi-abdomen.[ncbi.nlm.nih.gov]

  • Acute Pancreatitis

    […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[aafp.org] The clinical value of amylase and lipase measurement for the diagnosis of acute pancreatitis was evaluated in 253 patients presenting with acute abdominal pain.[ncbi.nlm.nih.gov] On physical examination, she has a heart rate of 110 beats per minute and moderate epigastric abdominal tenderness without peritoneal signs.[doi.org]

  • Meckel Diverticulitis

    The most common initial presentation is a periumbilical, gnawing pain that migrates within a few hours to the right iliac fossa.[surgwiki.com] […] mortality in elderly patients who present to the emergency department (ED) with abdominal pain exceeds 10%. 1 In this population, small bowel obstruction is one of the most[consultant360.com] The patient appeared uncomfortable with a soft but distended abdomen with mild right lower quadrant abdominal tenderness.[ijcasereportsandimages.com]

  • Hemoperitoneum

    We present an unusual case of 38-year-old woman that came to the emergency department with acute abdominal pain.[ncbi.nlm.nih.gov] : Heterotopic pregnancy should be kept in the differential diagnosis of any patient with an intrauterine pregnancy presenting with abdominal pain, abdominal tenderness, or[ncbi.nlm.nih.gov] An otherwise healthy 81-year-old man presented with abdominal pain/tenderness and anemia (hemoglobin: 7.4 g/dL).[ncbi.nlm.nih.gov]

  • Abdominal Muscle Strain

    Abdominal muscle pain must not be confused with abdominal pain due to intestinal muscle pains.[healthhype.com] Physical exam: Local tenderness, swelling, muscle spasm, and some loss of strength may be present.[physiowarzish.in] […] area Pain with attempts at stretching the abdominal muscles Tenderness in the abdominal area along with muscle spasms In severe cases of Abdominal Muscle Tear there may be[epainassist.com]

  • Umbilical Hernia

    We report a case of a painful periumbilical mass ultimately diagnosed as an infected urachal cyst.[ncbi.nlm.nih.gov] Clinical abdominal examination revealed an irreducible recurrent umbilical hernia. The patient had both muscular defense and abdominal tenderness.[ncbi.nlm.nih.gov] pain.[ncbi.nlm.nih.gov]

  • Mesenteric Infarction

    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] Intestinal ischaemia is an important part of the differential diagnosis in patients with ulcerative colitis presenting with abdominal pain.[ncbi.nlm.nih.gov] Expected clinical features of bowel infarction were commonly absent; for example, there was no abdominal pain and no abdominal tenderness in 29% and 26% of patients, respectively[ncbi.nlm.nih.gov]

  • Small Bowel Obstruction

    Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com] The clinical presentations varied, ranging from asymptomatic, chronic abdominal pain, or acute abdominal pain as acute abdomen.[ncbi.nlm.nih.gov] CONCLUSION: Surgeons currently rely on imprecise clinical parameters, including degree of pain, abdominal tenderness, leukocytosis etc to decide when operative intervention[ncbi.nlm.nih.gov]

  • Acute Mesenteric Ischemia

    We present the case of an 84-year-old woman who presented to our emergency department complaining of an acute worsening of pre-existing abdominal periumbilical pain, nausea[ncbi.nlm.nih.gov] The primary outcome was AMI among the patients with abdominal pain.[ncbi.nlm.nih.gov] *Sigmoidoscopy paint that pic dark/bloody mucosa/ but the risk of perforation high and that’s why if you hear pat got significant abdominal tenderness it no, no.[usmleforum.com]

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