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94 Possible Causes for Abdominal Rebound Tenderness, Amylase Increased, Severe Abdominal Pain

  • Appendicitis

    Abdominal examination revealed rebound tenderness at the McBurney's point.[] A history of anal pruritus is the most characteristic symptom, but the parasites can cause severe abdominal pain mimicking appendicitis.[] Physical examination revealed an abdominal tenderness in the right lower quadrant without rebound tenderness or muscular tension.[]

  • Acute Cholecystitis

    Increasing abdominal pain, high fever, and rigors with rebound tenderness or ileus suggest empyema (pus) in the gallbladder, gangrene, or perforation.[] Severe abdominal pain may need immediate treatment. You should always see your doctor if you begin to have severe, unexplained abdominal pain.[] Findings of abdominal pain increasing in intensity, very high fever, and rebound tenderness are suggestive of gangrene, perforation, and empyema of the gallbladder.[]

  • Perforated Peptic Ulcer

    A 54-year-old man visited our emergency department with severe upper abdominal pain. Physical examination revealed muscle guarding and rebound tenderness.[] […] no it does not ,increased amylase is senitive,but not specific for pancreatitis , increased levels are seen in acute pancreatitis , chronic pancreatitis , pesudocyst , ascitis[] Severe abdominal pain in an ill-appearing child with a rigid abdomen and possibly with signs of shock is the typical presenting feature of this life-threatening complication[]

  • Small Bowel Obstruction

    Severe direct tenderness, involuntary guarding, abdominal rigidity, and rebound tenderness suggest advanced SBO, as do marked leukocytosis, neutrophilia, bandemia, and lactic[] A 54-year-old postmenopausal woman presented with severe abdominal pain and vomiting. Before menopause, she sometimes had abdominal pain associated with menses.[] The patient complained of severe abdominal pain and unrelenting bilious vomiting.[]

  • Mesenteric Infarction

    Abdominal examination showed mild abdominal tenderness without rebound tenderness.[] Serum amylase was normal. The haemoglobin concentration was stable at this stage.[] Snap Shot A 70-year-old male with atrial fibrillation presents to the emergency department with sudden onset of severe abdominal pain despite relatively benign findings on[]

  • Acute Pancreatitis

    tenderness without guarding or rebound diminished bowel sounds from a localized ileus Hemorrhagic pancreatitis indicated by Jaundice is rare Evaluation Treatment Acute management[] Lab Increased amylase, increased lipase. Management Supportive bowel rest with parenteral nutrition.[] However, he complained of severe abdominal pain and was drowsy 2 h later.[]

  • Intestinal Infarction

    […] of patients recover and do not progress beyond this phase Paralytic phase Shock phase Acute abd omen with abdominal guarding and rebound tenderness Signs of septic shock[] The common laboratory abnormalities are hemoconcentration, leukocytosis, metabolic acidosis, with high anion gap and increased lactate concentrations.[] A patient with paroxysmal nocturnal hemoglobinuria of 14 years duration presented with severe abdominal pain and fever.[]

  • Ectopic Pregnancy

    Examination Common signs: Pelvic or abdominal tenderness. Adnexal tenderness. Other possible signs: Rebound tenderness. Cervical tenderness. Pallor.[] In the setting of a known ectopic pregnancy, severe abdominal pain with clinical concern for rupture is an indication for emergency surgery.[] On Valentine’s Day morning, 12-week pregnant Avila woke up complaining of severe abdominal pain.[]

  • Splenic Rupture

    Abdominal tenderness was experienced in the left upper quadrant and epigastric region with rebound tenderness.[] This, in turn, may result in increased morbidity and even mortality.[] A 26 years old Moroccan woman para II gravida II presented at the third stage of pregnancy with acute onset of severe abdominal pain.[]

  • Biliary Peritonitis

    Peritoneal signs (eg, abdominal tenderness and rebound) are present but may be somewhat diminished by the presence of ascitic fluid.[] […] organisms; increased amylase ; increased mononuclear cells and decreased glucose occur in tuberculous peritonitis Leukocytosis – up to 50,000/ul with 80-90% neutrophils ;[] If you have severe abdominal pain or an abdominal injury, such as a knife wound, take one of the following actions: see your doctor go to an emergency room call 911 or your[]