Abdominal Pain & Mutation in the Endoglin Gene & Pharyngeal Hemorrhage: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Abdominal Pain, Mutation in the Endoglin Gene, Pharyngeal Hemorrhage,

Negated

None

Unsure

None

Possible Causes

Hereditary Hemorrhagic Telangiectasia

In addition, genetic linkage studies and/or mutation analysis identified endoglin as the disease-causing gene in 6 of these families. [pediatrics.aappublications.org]

pain Leg swelling Anemia Artery malformations, which may affect pulmonary (lung) or cerebral (brain) circulation Screening for HHT The HHT Foundation recommends that all [health.ucsd.edu]

A genetic test, identifying the mutation in endoglin gene both in the patient and in the father, confirmed the suspected diagnosis of HHT. [ncbi.nlm.nih.gov]

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Infectious Mononucleosis

The hemorrhagic pharyngeal tonsils with hot signals on 18F-fluorodeoxyglucose-positron emission tomography-computed tomography were biopsied revealing the presence of EBV-encoded [ncbi.nlm.nih.gov]

The evaluation of a febrile patient with acute abdominal pain represents a frequent yet possibly challenging situation in the emergency department (ED). [ncbi.nlm.nih.gov]

A 15-year-old previously healthy girl presented in full arrest after 1 week of flu-like symptoms, recent diagnosis of infectious mononucleosis, and 1 day of abdominal pain [ncbi.nlm.nih.gov]

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Acute Gastritis

Patients and methods: Six children between 4 and 8 years of age, 4 males, with hematemesis and/or melenas were diagnosed with acute hemorrhagic gastritis in a period of 6 [actapediatrica.com]

Abdominal pain Other names Stomach ache, tummy ache, belly pain Abdominal pain can be characterized by the region it affects Specialty General surgery Causes Serious: Appendicitis [en.wikipedia.org]

The most common symptoms of gastritis are pain or upper abdominal discomfort. [symptoma.com]

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Pharyngeal Disease

[…] diverticulum Perforation of pharynx Pharyngeal abscess Pharyngeal bursitis Pharyngeal diverticulitis Pharyngeal dryness Pharyngeal gag reflex positive Pharyngeal hemorrhage [icd9data.com]

pain, nausea, headache, and irritability. [britannica.com]

Other adverse effects are orthostatic hypotension, tachycardia, chest pain, blurred vision, dry mouth, nausea, vomiting, anorexia, constipation, abdominal pain, weight gain [medical-dictionary.thefreedictionary.com]

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Sleep Apnea

When patients are selected on the basis of retropalatal obstruction demonstrated by computed tomography during wakefulness or by catheter measurements of nasal pharyngeal [cda-adc.ca]

Our study showed that only one of the twenty patients in the carbocysteine group experienced an adverse event (slight abdominal pain). [journals.plos.org]

[…] pressure, the success rate of UPPP is only 50%. 16 UPPP also carries a risk of significant hemorrhage, and patients report substantial postoperative pain, which may last for [cda-adc.ca]

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Ulcerative Colitis

(n 1) Placebo (N 34): Total with adverse effects 5; vaginitis (n 1), edema (n 1), gastroenteritis (n 1), rectal hemorrhage (n 1), urinary tract infection (n 1), chest pain [doi.org]

Its major symptoms include diarrhea, rectal bleeding, the passage of mucus, and abdominal pain. [icd9data.com]

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Overeating

A 29-year-old previously healthy female presented with acute onset right upper quadrant pain, abdominal fullness, and nausea. [ncbi.nlm.nih.gov]

(Image: Tuned_In/iStock/Getty Images) Nearly everyone has overindulged in good food at least once and has experienced the resulting abdominal discomfort. [livestrong.com]

Understandably, this triggers pain. But once you’ve overeaten, as one does during holidays that revolve around feasting, you can’t exactly undo it. [cosmopolitan.com]

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Bladder Neck Obstruction

Stroke Stroke, Hemorrhagic Temporal Arteritis Thoracic Aortic Dissection Upper Gastrointestinal Bleed Urinary Incontinence, Women Urinary Tract Infection, Child Urinary Tract [jamaevidence.mhmedical.com]

If patients aren’t diagnosed with dilation of their urinary tract via ultrasound in utero, they can present after birth with vague symptoms such as abdominal pain, blood in [en.wikipedia.org]

pain Continuous feeling of a full bladder Frequent urination Pain during urination ( dysuria ) Problems starting urination (urinary hesitancy) Slow, uneven urine flow, at [medlineplus.gov]

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Acute Gastroenteritis

Abstract Visceral hypersensitivity and abnormal coping are common in children with functional abdominal pain disorders (FAPDs). [ncbi.nlm.nih.gov]

This disease is characterized by vomiting and/or diarrhea with blood or mucus, discomfort, fever, and nonspecific abdominal pain. [ncbi.nlm.nih.gov]

A 12-year-old boy was brought to the hospital with a 3-week history of watery diarrhea mixed with mucus and colicky abdominal pain. [ncbi.nlm.nih.gov]

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Parathyroid Adenoma

The first case was a 76-year-old Asian female who presented with pharyngeal discomfort and anterior chest ecchymosis. [ncbi.nlm.nih.gov]

Features include lethargy, fatigue, polydipsia, polyuria, myalgia, abdominal pain, constipation, nausea, and emesis. [symptoma.com]

Introduction Adenomas of the parathyroid gland typically present with symptoms of hyperparathyroidism, manifested by fatigue, bone pain, abdominal pain, weakness, dyspepsia [ncbi.nlm.nih.gov]

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Throat Cancer

pain;Cough;Fever;Nausea;Runny nose;Sore throat2009-10-16T04:00:00ZJanine A. [aboutkidshealth.ca]

During the entire trial, there was no life-threatening side effect (grade 4) and only one severe (grade 3) side effect (abdominal pain), which occurred in a patient in the [doi.org]

[…] tonsillitisSore throat and tonsillitisEnglishOtolaryngologyChild (0-12 years);Teen (13-18 years)Mouth;EsophagusMouth;EsophagusConditions and diseasesCaregivers Adult (19 )Abdominal [aboutkidshealth.ca]

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Urinary Tract Disease

A person with a kidney infection can also experience: chills fever loin (lower abdominal) pain back pain. [sahealth.sa.gov.au]

A hot water bottle or an electric heating pad on a low setting can help relieve cramps or lower abdominal or back pain. [healthyhorns.utexas.edu]

Soaking in a tub for 20 to 30 minutes may help relieve any back or abdominal pain. Keep your follow-up appointment with your provider, if recommended. [healthyhorns.utexas.edu]

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Carcinoma of the Tonsil

pain. [ncbi.nlm.nih.gov]

The serum beta-hCG levels were high and an abdominal ultrasound scan revealed hydronephrosis on the left side. [ncbi.nlm.nih.gov]

A 58-year-old man had undergone a tonsillectomy and chemo-radiotherapy for squamous cell carcinoma of the left tonsil and 13 months later presented with non-specific abdominal [ncbi.nlm.nih.gov]

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Purpura

[…] in endoglin gene or in the activin receptor–like kinase gene (ALK1) which result in vascular malformations. 29. [slideshare.net]

A 7-year-old girl was admitted to the hospital with abdominal pain, vomiting, and fever. [ncbi.nlm.nih.gov]

AIM: Henoch-Schönlein purpura (HSP), a primary vasculitis, characterized by purpura, abdominal pain, arthritis and renal involvement, is predominantly a disease of childhood [ncbi.nlm.nih.gov]

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Viral Pneumonia

Adenoviruses of 52 serotypes can be the cause of asymptomatic infections, pharyngitis, keratoconjunctivitis, gastroenteritis, hemorrhagic cystitis, meningoencephalitis, hepatitis [scielo.br]

Children with pneumonia may complain of chest pain or abdominal pain, and they often wheeze or make a grunt when they breathe. [hon.ch]

With pneumonia, a person may have difficulty breathing and have a cough and fever; occasionally, chest or abdominal pain and vomiting are symptoms, too. [m.kidshealth.org]

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Marburg Virus Disease

Incubation 5-9 days; otherwise like Argentine or Bolivian hemorrhagic fever—headaches, fever, diarrhoea, myalgias, rash, pharyngitis, thrombocytopenia, leukopenia, hemorrhage [medical-dictionary.thefreedictionary.com]

The first phase lasts about 5 days and is characterized by a high fever, headache, chills, malaise, myalgia, and possibly nausea, emesis, watery diarrhea, abdominal pain, [symptoma.com]

Jaundice and pancreatitis are common, as is an altered mental status or even coma; pharyngitis and a nonproductive cough are less common. [upmc-cbn.org]

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Hantavirus Pulmonary Syndrome

Fever, often with shaking chills; severe polyarticular arthralgia; rash with headache, photophobia, retro-orbital pain, sore throat, pharyngitis, nausea, vomiting Arthralgia [nap.edu]

The second phase lasts 2 to 8 days and includes rapid development of fever, dry cough, body aches, headaches, diarrhea, and abdominal pain. [lung.org]

Symptoms include abrupt onset of fever, chills, weakness, nausea, vomiting, and abdominal pain followed by difficulty breathing. [foundation.chestnet.org]

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Urinary Tract Infection

Recurrent chronic lower abdominal pain and urinary tract infection in a young person may be due to congenital renal abnormality. [ncbi.nlm.nih.gov]

Spontaneous renal artery dissection is a rare clinical entity, and symptoms vary from non-specific abdominal pain to life-threatening hypertension. [ncbi.nlm.nih.gov]

Women between 18 and 75 years with suspected UTI and at least two of the symptoms dysuria, urgency, frequency or lower abdominal pain will be assessed for eligibility in general [ncbi.nlm.nih.gov]

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Acute Glomerulonephritis

Other signs Pharyngitis Impetigo Respiratory infection Pulmonary hemorrhage Heart murmur may indicate endocarditis Scarlet fever Weight gain Abdominal pain Anorexia Back pain [sites.google.com]

pain Chronic Glomerulonephritis Prevention There is no known way to prevent chronic glomerulonephritis. [healthcommunities.com]

Other symptoms include nausea, anorexia, vomiting, arthralgia, and abdominal pain. Furthermore in these cases, hypertension is usually absent or mild. [symptoma.com]

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Constipation

CASE: A 16-year-old female presented with 5 months of chronic, episodic abdominal pain of increasing severity with associated mucoid stools, constipation, encopresis, and [ncbi.nlm.nih.gov]

PURPOSE: Abdominal pain is not used to characterize constipated patients. [ncbi.nlm.nih.gov]

We present a case of mucosal EG presenting as constipation and abdominal pain in a 43 year old female. [ncbi.nlm.nih.gov]

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Viral Hemorrhagic Fever

Petechiae, mucous membrane and conjunctival hemorrhage, hematuria, melena, and hematemesis may be indicators of a progressing hemorrhagic diathesis. [visualdx.com]

Vomiting, abdominal pain and diarrhea are occasionally seen. Bleeding may be seen from gums, nose, lungs, uterus and GI tract. [canada.ca]

A 38-year-old male UN peacekeeper returning from Liberia, western Africa, presents with fever, malaise, asthenia, cough, sore throat, abdominal pain, diarrhea, nausea, and [proprofs.com]

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Insect Bite

The black widow spider may cause only a mild local reaction at the bite site, but pain, stiffness, chills, fever, nausea, and abdominal pain may follow within a few hours. [skinsight.com]

Call a doctor if: You have a fever, severe headache, muscle and joint pain, nausea and vomiting, abdominal pain or a red, blotchy rash that starts on your ankles and wrists [sharecare.com]

They include: Chest pain Face or mouth swelling Difficulty swallowing Difficulty breathing Fainting or lightheadedness Abdominal pain or vomiting Rash or flushing For severe [medlineplus.gov]

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Cystitis

pain, nausea and vomiting. [ncbi.nlm.nih.gov]

We herein reported a case of xanthogranulomatous cystitis in a 54-year-old male who presented with low abdominal pain and painless, total macrohematuria. [ncbi.nlm.nih.gov]

Some sexually transmitted infections, such as chlamydia and gonorrhoea, can cause pain when urinating as well as abdominal pain. [onlinedoctor.superdrug.com]

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Acute Infectious Lymphocytosis

 Clinical complications include hemorrhage due to thrombocytopenia, airway obstruction due to enlargement of pharyngeal lymphoid tissue, and splenic rupture is splenomegaly [slideshare.net]

Symptoms included diarrhea, abdominal pain, vomiting, fever and cough. There was an absolute lymphocytosis lasting about three weeks. [bloodjournal.org]

[…] form, at a cut there can be abdominal pains or the phenomena of a coloenteritis. [bigmed.info]

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Stevens-Johnson Syndrome

These lesions rupture and ulcerate and become covered by gray-white membranes and a hemorrhagic crust. [aao.org]

pain 7.5% Abnormality of the eyelid 7.5% Abnormality of the myocardium 7.5% Abnormality of the pleura 7.5% Abnormality of the preputium 7.5% Abnormality of the urethra 7.5% [web.archive.org]

pain Pain in stomach Stomach pain [ more ] 0002027 Elevated erythrocyte sedimentation rate High ESR 0003565 Nephropathy 0000112 Nephrotic syndrome 0000100 Renal amyloidosis [rarediseases.info.nih.gov]

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Upper Respiratory Infection

If your sore throat is severe, you have abdominal pain, and you lack a runny nose or a cough, you may have strep throat. [verywellhealth.com]

肺炎肺肺炎 Pneumonia ChineseSimplified Respiratory Child (0-12 years);Teen (13-18 years) Lungs Lungs Conditions and diseases Caregivers Adult (19 ) Abdominal pain;Cough;Fever [aboutkidshealth.ca]

Outcomes for harms include antibiotic-related adverse events (eg, abdominal pain, diarrhea, rash), Clostridium difficile colitis, development of resistance, and cost. [pediatrics.aappublications.org]

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Congenital Aplastic Anemia

She had hemorrhagic painful blisters on lips and buccal mucosa, pharyngeal erythema with enlarged inflamed tonsils without exudates, and shotty non tender bilateral anterior [omicsonline.org]

The severe adverse events included abdominal pain due to gastroparesis, skin rash on cephalosporin, febrile neutropenia, and gingival bleeding. [hematology.org]

The patient did not have any fever, abdominal pain, jaundice, or rash. There was no history of abdominal distension, weight loss, or prior bleed. [jscisociety.com]

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Pharyngeal Carcinoma

It does not cause permanent damage Pancreatitis - There is abdominal pain, nausea and vomiting Hearing impairment. [healthhub.sg]

[…] limiting deep breathing and clearance of tracheal secretions, risk of abdominal hernia or bulge, and difficult primary closure of large donor site wounds. [bcm.edu]

As mentioned, at MD Anderson, rectus abdominis free flaps are now less often used in oropharyngeal reconstruction because of increased donor site morbidity including pain [bcm.edu]

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Ovarian Cyst

This report describes a case of a presacral mass found on CT of a 37-year-old woman who initially presented with worsening abdominal pain and a history of ovarian cyst rupture [ncbi.nlm.nih.gov]

Two months after the onset of abdominal pain, laparotomy was performed. [ncbi.nlm.nih.gov]

Spontaneous splenic rupture is always neglected when consulting acute abdominal pains in gynecological emergencies. [ncbi.nlm.nih.gov]

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Acute Cystitis

Definition / general A clinical diagnosis, usually with a triad of frequency, lower abdominal pain and dysuria (pain or burning during urination) There is usually no surgical [pathologyoutlines.com]

pain and bloody or cloudy urine. [livestrong.com]

• Lower back or abdominal pain • An inability to urinate despite the urge to go • Fever and general discomfort Treatment Options It is important to deal with acute cystitis [cblpath.com]

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