Create issue ticket

13 Possible Causes for Abdominal Rebound Tenderness, Decreased Bowel Sounds, Pelvic Hematoma

  • Traumatic Urinary Bladder Rupture

    Signs of peritoneal irritation (abdominal rigidity, rebound tenderness, and voluntary guarding) may also be present because of extravasation of blood or urine into the peritoneal[medical-dictionary.thefreedictionary.com] bowel sounds, bruising Genitourinary exam: Blood at meatus, gross hematuria, clots in the urine, scrotal/urethral hematoma, free floating or high riding prostate, unstable[tipsdiscover.com] Additionally, the bladder may assume a teardrop shape secondary to compression from a pelvic hematoma.[emedicine.medscape.com]

  • Diverticular Abscess

    tenderness R10822Left upper quadrant rebound abdominal tenderness R10823Right lower quadrant rebound abdominal tenderness R10824Left lower quadrant rebound abdominal tenderness[cms.gov] Bowel sounds often are decreased but may be normal early in the condition or increased in the presence of obstruction.[aafp.org] […] inflammatory disease, hematoma, tumor, and inflammation of the iliopsoas compartment Diagnostic Tests & Interpretation Initial Tests (lab, imaging) Labs: WBC ( 10,000/mL)[unboundmedicine.com]

  • Volvulus

    She was afebrile and physical exam showed no abdominal rebound tenderness; plain abdominal film was unremarkable.[academic.oup.com] Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[omicsonline.org] The physical examination revealed hypoactive bowel sounds and diffuse abdominal tenderness with rebound; there was no fever, abdominal rigidity, or guarding.[nejm.org]

  • Abdominal Injury

    The presence of a seat belt sign (likelihood ratio [LR] range, 5.6-9.9), rebound tenderness (LR, 6.5; 95% CI, 1.8-24), hypotension (LR, 5.2; 95% CI, 3.5-7.5), abdominal distention[ncbi.nlm.nih.gov] First this patient is at risk for arterial injury with pelvic hematoma, rectal, vaginal injury and bladder injury.[radiologyassistant.nl] rebound tenderness (see video below) Worsening symptoms/objective signs If you’re not sure… no-one was ever sued because they did refer on (you don’t to be the therapist[thesportsphysiotherapist.com]

  • Hemoperitoneum

    […] to have generalized abdominal tenderness with rebound tenderness and easily palpable fetal parts.[bmcresnotes.biomedcentral.com] Do not explore pelvic hematomas. Use external fixation of pelvic fractures to reduce or stop blood loss in this region.[emedicine.medscape.com] Physical examination showed generalized abdominal tenderness with significant rebounding pain and muscle guarding.[academic.oup.com]

  • Intraperitoneal Abscess in the Right Lower Quadrant

    tenderness R10822Left upper quadrant rebound abdominal tenderness R10823Right lower quadrant rebound abdominal tenderness R10824Left lower quadrant rebound abdominal tenderness[cms.gov] Signs of peritoneal inflammation, including rebound tenderness, abdominal wall rigidity, and decrease in bowel sounds are observed.[anaerobicinfections.blogspot.com] […] and ureter – nephrolithiasis (ureteric colic) In females (gynecologic) – Right ovary – ovarian cyst rupture, ovarian torsion, endometriosis Right fallopian tube – acute pelvic[clinicaladvisor.com]

  • Intestinal Obstruction

    Palpate for focal tenderness* (including guarding and rebound tenderness on palpation).[teachmesurgery.com] bowel sounds.[www2.health.vic.gov.au] […] related to underlying etiology Risk Factors Previous abdominal and/or pelvic surgery (particularly with open surgical techniques) Hernia Chronic constipation Cholelithiasis[unboundmedicine.com]

  • Volvulus of the Small Intestine

    She was afebrile and physical exam showed no abdominal rebound tenderness; plain abdominal film was unremarkable.[academic.oup.com] Other findings included tenderness, decreased bowel sounds and abdominal distension, which was particularly located in the periumbilical region with palpable, dilated intestines[jmedicalcasereports.biomedcentral.com] Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[omicsonline.org]

  • Pelvic Abscess

    One-third of these patients also have rebound tenderness. Unless diagnosed and treated emergently, a ruptured pelvic abscess with peritonitis can be life-threatening.[symptoma.com] Physical examination on admission revealed tenderness in the lower abdomen with tympanic bowel sounds but no palpable mass. Her body temperature was 37.0 C.[jmedicalcasereports.biomedcentral.com] […] or diverticulitis • Pelvic hematomas, as may occur after C-section or hysterectomy DON'T FORGET - KNOWLEDGE IS EVERYTHING![encyclopedia.lubopitko-bg.com]

  • Rectal Trauma

    Perineal, anal, or lower abdominal pain Signs of perforation or peritonitis: Guarding Rebound tenderness Fever Rectal bleeding Obstipation Presence of pelvic fracture History[5minuteconsult.com] There were no gross peritoneal signs, and decreased bowel sounds were noted on auscultation.[mdmag.com] […] fractures or hematoma a high riding prostate suggestive of posterior urethral disruption tenderness from ruptured viscus or intraperitoneal hemorrhage NEGATIVES OF PERFORMING[lifeinthefastlane.com]