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209 Possible Causes for Abdominal Pain, Costovertebral Angle Tenderness

  • Urinary Tract Infection

    Recurrent chronic lower abdominal pain and urinary tract infection in a young person may be due to congenital renal abnormality.[] Because of the referred pain pathways, even simple lower UTI may be accompanied by flank pain and costovertebral angle tenderness.[] Flank pain and costovertebral angle tenderness (may be present in cystitis but suggest upper UTI) Bloody urine Fevers, chills, and malaise (may be noted in patients with[]

  • Splenic Abscess

    Fever, abdominal pain, nausea, vomiting, and a poor general condition in severe cases is the typical clinical presentation.[] Less frequent signs include costovertebral angle tenderness, acscites, and hepatomegaly. A splenic rub may rarely occur. How did the patient develop a splenic abscess?[] One month before, the patient presented with persistent abdominal pain.[]

  • Sepsis

    Two weeks after his discharge, he presented with severe abdominal pain, fever, and vomiting. Radiologic assessment showed pneumoperitoneum.[] angle tenderness with a temperature of 102 F suggests acute pyelonephritis .[] angle tenderness (suggesting pyelonephritis) Special considerations include the following: Elderly patients may present with peritonitis and may not experience rebound tenderness[]

  • Renal Abscess

    Costovertebral angle tenderness is almost uniformly present with each type of corticomedullary infection.[] Renal abscess is rare in children and the usual presenting features include fever, lumbar pain, abdominal pain and occasional flank mass.[] Physical examination identified costovertebral angle tenderness and pedal edema. An ultrasound scan revealed a mass in his left kidney.[]

  • Renal Infarction

    Physical examination was unremarkable except right costovertebral angle tenderness. His labs showed creatinine 0.9 mg/dl, GFR above 60 and INR 1.8.[] We report a case of acute renal infarction following coronary angiography in a patient with paroxysmal atrial fibrillation who initially presented with acute abdominal pain[] Vital findings were normal in the physical examination except left costovertebral angle tenderness.[]

  • Adrenal Hemorrhage

    On the 3rd day she developed fever, increasing abdominal pain and shortness of breath.[] Physical exam was significant for left sided costovertebral angle tenderness, as well as tenderness to palpation in the epigastrium and left upper quadrant.[] A 54-year-old woman with stage IV non-small-cell lung cancer and known bilateral adrenal metastasis developed severe right-sided abdominal pain while undergoing chemotherapy[]

  • Hemophilia

    An 8y7m-old Chinese boy presented with half a day of right sided abdominal pain, fever, nausea, and vomiting.[] Nevertheless this rare case must be considered in patients with coagulopathies presenting with abdominal pain.[] A 58-year-old caucasian male with hemophilia A presented to the emergency room of another institution with abdominal pain, blood in the stool, and a history of diverticulosis[]

  • Methanol Poisoning

    A 31-year-old male alcoholic had headache, impaired consciousness, neck stiffness, roving eyes with dilated unreactive pupils, papilloedema, abdominal pain, vomiting, and[] angle tenderness Tubular necrosis with oliguria Renal failure Treatment of Methanol and Ethylene Glycol Toxicity 1.[] Methanol poisoning typically induces nausea, vomiting, abdominal pain, and mild central nervous system depression.[]

  • Pelvic Actinomycosis

    Three women with intrauterine devices (IUD) each presented with lower abdominal pain and pelvic mass, and elevated white blood cell count and C-reactive protein.[] The abdomen was soft and revealed a tender, 10 cm mass filling the left lower quadrant. Left costovertebral angle tenderness was present.[] The most frequent presenting symptoms were lower abdominal pain and abnormal vaginal bleeding.[]

  • Pyelonephritis

    Common signs and symptoms include acute-onset fever, chills, severe back or flank pain, nausea and vomiting, and costovertebral angle tenderness.[] Here, we describe a 12-year-old boy who presented with abdominal pain. He did not have any history of urinary tract infection.[] angle tenderness may be present. o CBC § Elevated white blood cell count. o Urinalysis § Bacteriuria § Pyuria § White blood cell casts o Acute pyelonephritis is clinical[]

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