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61 Possible Causes for Abdominal Rebound Tenderness, Gastric Retention, Severe Abdominal Pain

  • Appendicitis

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

  • Acute Peritonitis

    Abdominal Rebound tenderness with guarding May have referred pain to shoulder Rigid, distended abdomen Bowel sounds decrease to absent Acute Care Management Nursing Diagnosis[nursingcrib.com] On post-operative day (POD) 3, the severe abdominal pain redeveloped, but responded well to steroid pulse therapy.[link.springer.com] Rebound tenderness  If inflammation under the diaphragm  Shoulder tip Pain  Pelvic inflammation: Abdominal signs but severe tenderness of P/R or P/V 14.[slideshare.net]

  • Acute Cholecystitis

    Increasing abdominal pain, high fever, and rigors with rebound tenderness or ileus suggest empyema (pus) in the gallbladder, gangrene, or perforation.[msdmanuals.com] Severe abdominal pain may need immediate treatment. You should always see your doctor if you begin to have severe, unexplained abdominal pain.[healthline.com] Diagnosing acute cholecystitis If you have severe abdominal pain, your GP will probably carry out a simple test called Murphy's sign.[nhs.uk]

  • Acute Gastroenteritis

    Patients with gastroenteritis should not have rebound tenderness, guarding, distention, bulges, pinpoint pain, or a board-like abdomen. 13 Duration: Acute infectious gastroenteritis[contemporaryclinic.pharmacytimes.com] The symptoms of acute gastroenteritis are very intense with extreme nausea, violent vomiting and explosive diarrhea accompanied by severe abdominal pain being a typical presentation[healthhype.com] abdominal pain, bilious vomiting, abdominal mass).[ncbi.nlm.nih.gov]

  • 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[medbullets.com] However, he complained of severe abdominal pain and was drowsy 2 h later.[ncbi.nlm.nih.gov] Suprapubic tenderness during the abdominal examination will vary from mild to moderate with or without rebound tenderness.[ncbi.nlm.nih.gov]

  • Splenic Rupture

    Abdominal tenderness was experienced in the left upper quadrant and epigastric region with rebound tenderness.[abdominalsurg.org] A 26 years old Moroccan woman para II gravida II presented at the third stage of pregnancy with acute onset of severe abdominal pain.[ncbi.nlm.nih.gov] A 22-year-old man presented with a 1-day history of severe abdominal pain. He developed a generalised vesicular rash 12 h prior to admission.[ncbi.nlm.nih.gov]

  • 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.[qjmed.oxfordjournals.org] A succussion splash heard 6 h after a meal or aspiration of fluid or food residue 200 mL after an overnight fast suggests gastric retention.[merckmanuals.com] 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[ncbi.nlm.nih.gov]

  • Intestinal Obstruction

    […] of patients recover and do not progress beyond this phase Paralytic phase Shock phase Acute abdomen with abdominal guarding and rebound tenderness Signs of septic shock A[amboss.com] Gastrointestinal immotility, such as gastric stasis or delayed emptying, prolongs retention of material in the intestines, thus promoting the formation of bezoars. [ 12, 16[omicsonline.org] Symptoms include Severe abdominal pain or cramping Vomiting Bloating Loud bowel sounds Swelling of the abdomen Inability to pass gas Constipation A complete intestinal obstruction[nlm.nih.gov]

  • Penetrating Duodenal or Gastric Ulcer

    Palpation of the abdomen is painful, rebound tenderness is prominent, abdominal muscles are rigid (boardlike), and bowel sounds are diminished or absent.[merckmanuals.com] […] develops severe abdominal pain worse with eating.[medbullets.com] There is generalised tenderness, guarding and rebound tenderness. The abdominal muscles are held rigid, giving the classical ‘board-like rigidity’.[surgwiki.com]

  • Toxic Megacolon

    Diffuse abdominal rigidity and rebound tenderness indicate peritonitis and may be noted in the case of intestinal perforation.[symptoma.com] Nausea and vomiting may occur, but gastric retention is often minimal, and enteral feeding may be tolerated.[clinicalgate.com] Perforation of the colon Sepsis ShockEmergency action may be required if severe abdominal pain develops, particularly if it is accompanied by fever, rapid heart rate, tenderness[en.wikipedia.org]