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187 Possible Causes for Abdominal Pain, Malaise, Splinter Hemorrhage

  • Hypereosinophilic Syndrome

    Six months after the onset of symptomatology there were generalized malaise, uncontrolled fever, gingival haemorrhage, asthenia and adynamia; a blood cell count reported blasts[] We present a 24-year-old-male with left lower quadrant abdominal pain, elevated eosinophil counts and splenomegaly.[] Splinter hemorrhages were found in both hands.[]

  • Mycotic Aneurysm

    The median age of patients with IMA aneurysm was 48 (range, 22-64) years, with a male predominance of 2:1 and abdominal pain in all cases (n 3; 100%).[] We report the case of a 20-year-old woman who presented with fever and malaise from streptococcal bacteremia and found to have vegetation on the anterior leaflet of the mitral[] Abdominal pain in a patient with a recent history of IE should be excluded with ruptured aneurysm.[]

  • Arterial Embolism

    We report on 2 cases of visceral arterial embolism presenting with acute abdominal pain.[] Can also get microangiopathic hemolytic anemias like TTP/HUS, HELLP, and in Catastrophic APS (see below) Skin manifestations are common and include splinter hemorrhages, livedo[] After the treatment, the symptoms such as abdominal pain and diarrhea improved accordingly. She was discharged from the hospital 27 days later.[]

  • Subacute Bacterial Endocarditis

    Herein, we report a 25-year-old male diagnosed with SBE, who presented with the unusual symptom of sudden onset of left upper quadrant abdominal pain for 2 days.[] SBE manifests many skin findings including petechiae, splinter hemorrhages of the nails, Osler's and laneway lesions, clubbing of the fingers, and findings suggestive of angiitis[] Among the signs of subacute bacterial endocarditis are: Malaise Weakness Excessive sweat Fever It is usually caused by a form of Viridans group streptococcus bacteria that[]

  • Infective Endocarditis

    PATIENT CONCERN: A 42-year-old woman was admitted to our hospital because of fever, abdominal pain, headache, and right limb weakness.[] He was afebrile but had a pansystolic murmur and a solitary splinter hemorrhage on the right thumb.[] CASE PRESENTATION: A 77-year-old Asian man with a 10-year history of psoriatic erythroderma was referred due to high fever and general malaise.[]

  • Acute Bacterial Endocarditis

    The patient presented with fevers, fatigue, abdominal pain and renal failure and was found to have acute left-sided staphylococcal endocarditis.[] There is generalized clubbing: involving all the fingers and toes and there are two splinter hemorrhages in the left index finger.[] In addition, the patient reported a mild febrile illness with malaise and dysuria during the 3 weeks prior to presentation. Figure 1.[]

  • Bacterial Endocarditis

    Symptoms can be nonspecific and include fever , malaise, shortness of breath , and weakness .[] On the fourth postoperative day, the patient presented with fever and worsening abdominal pain, which was later diagnosed as infectious aortitis.[] Physical exam Up to half of all patients will exhibit classic physical signs such as 1) petechiae, 2) splinter hemorrhages, 3) Osler's nodes, 4) Janeway lesions and 5) Roth's[]

  • Cutaneous Leukocytoclastic Vasculitis

    Abdominal pain occurred in 42 per cent of the male patients while none of the female patients had this symptom. Arthralgia occurred in 20 per cent of the patients.[] No splinter hemorrhages, jaundice, lymphadenopathy, heart murmur, pericardial rub, or joint inflammation were noted on physical exam.[] Over the past 3 to 4 weeks, he has had malaise, nonproductive cough, and a decline in mental status but no fever, headache, nausea, light-headedness, hemoptysis, or melena[]

  • Microscopic Polyangiitis

    History Constitutional manifestations of microscopic polyangiitis (MPA) include the following: Fever (55%) Malaise, fatigue, flulike syndrome Myalgia (48%) Weight loss (72%[] Clinicians should consider the possibility of hemocholecyst in patients with MPA complaining of abdominal pain.[] Cutaneous lesions (purpura, splinter hemorrhages) are found in 44 to 58% of the patients.[]

  • Rheumatoid Arteritis

    […] primarily by occlusive vasculopathy Granulomas form in arterial media Often associated with polymyalgia rheumatica Clinical Presentation Constitutional – fever, fatigue, malaise[] Two patients with rheumatoid arthritis (RA) and polyarteritis nodosa (PN) presented with abdominal pain.[] Generally, vasculitis causes fatigue and malaise. Sometimes vasculitis can lead to weakness and weight loss.[]

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