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76 Possible Causes for Abdominal Pain, Splinter Hemorrhage, Systolic Murmur

  • Subacute Bacterial Endocarditis

    […] a murmur suggestive of blood outflow obstruction (systolic murmur).[] 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[]

  • Infective Endocarditis

    A systolic murmur was heard on the tricuspid area upon examination, and an echocardiogram showed endocardial lesions in the right atrium.[] 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.[]

  • Acute Bacterial Endocarditis

    […] a murmur suggestive of blood outflow obstruction (systolic murmur).[] 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.[]

  • Bacterial Endocarditis

    On physical exam, you appreciate a faint systolic murmur. Before any lab tests or other imaging have been done, you obtain the following echo: Post navigation[] 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[]

  • Rheumatic Fever

    We report on a 10-year-old boy who presented with progressive right side involuntary movements, an apical systolic murmur, prolonged PR interval, and elevated antistreptolysin[] There is sudden onset of fever, joint pain, malaise and loss of appetite. In some cases, epistaxis and abdominal pain may also be present.[] hemorrhages on nail bed vegetations seen on valves on imaging Treatment Management approach patients must be treated adequately with antibiotics to prevent rheumatic heart[]

  • Mycotic Aneurysm

    A high-pitched early diastolic murmur in left sternal border (LSB) and a systolic murmur II/VI were auscultated. The lungs were clear.[] 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%).[] A mycotic aneurysm tends to enlarge rapidly and, if palpable, may appear as a tender, warm pulsatile mass with an overlying systolic murmur.[]

  • Right Heart Endocarditis

    Murmurs Most left-to-right shunts and obstructive lesions cause systolic murmurs.[] […] signs and symptoms such as nausea/vomiting and abdominal pain Janeway lesions, which are small, painless, red or hemorrhagic lesions on the palms and sloes Osler’s nodes,[] splinter hemorrhages Neurological: Confusion, hemiplegia and sensory dysfunction due to emboli Subarachnoid hematoma due to rupture of mycotic aneurysm Renal: Infarction causes[]

  • Arterial Embolism

    A blowing systolic murmur 2/6 presented between the first to second left intercostal sternal border and a systolic murmur 1/6 located at tricuspid valve.[] 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[]

  • Endocarditis

    […] a murmur suggestive of blood outflow obstruction (systolic murmur).[] A 37-year-old male underwent surgery for an incarcerated umbilical hernia repair and bowel obstruction and presented with severe abdominal pain and ascitic fluid draining[] Cutaneous manifestations include petechiae, Osler nodes, Janeway lesions, and splinter hemorrhages.[]

  • Toxic Myocarditis

    Cardiogenic shock in fulminant cases Auscultation findings Brief systolic murmurs Heart failure S3 (and S4) gallops Pericarditis pericardial friction rub The clinical manifestation[] A 54-year-old man presented to the ED complaining of 3 days of chest tightness, palpitations, and dyspnea, as well as persistent abdominal pain and vomiting.[] Petechial hemorrhages can occur in the conjunctiva, the buccal mucosa, palate, extremities, and splinter hemorrhages under the nail beds of the hands and feet.[]

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