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99 Possible Causes for Abdominal Rebound Tenderness, Left Lower Quadrant Pain

  • Acute Gastroenteritis

    Pain radiation: Does the pain radiate to the back, to the right lower quadrant, or to the left side? Serious conditions can masquerade as GI symptoms.[] Patients with gastroenteritis should not have rebound tenderness, guarding, distention, bulges, pinpoint pain, or a board-like abdomen. 13 Duration: Acute infectious gastroenteritis[] Sometimes, myocardial infarction can appear as dyspepsia and epigastric pain. In children, abdominal pain may be the only presenting feature in pneumonia.[]

  • Appendicitis

    Although typically presenting as right lower-quadrant pain, in rare cases it may present as left upper-quadrant pain secondary to abnormal position due to intestinal malrotation[] Physical examination revealed an abdominal tenderness in the right lower quadrant without rebound tenderness or muscular tension.[] Rovsing Sign: Right lower quadrant pain with left lower quadrant palpation is a sign of referred pain from appendicitis as the innervation of the intestine does not localize[]

  • Diverticular Abscess

    Patient History A 73 year-old female presented to the emergency room with a 5-day history of left lower quadrant pain, fever and leukocytosis.[] Diverticulitis will present as a 67-year-old man with a long history of constipation presents with steady left lower quadrant pain.[] Signs and symptoms usually found The most common symptom of acute diverticulitis is left lower quadrant pain.[]

  • Familial Mediterranean Fever

    Involvement of the peritoneum is indicated by the subjective symptom of marked abdominal soreness and the objective finding of widespread, exquisite direct and rebound tenderness[] Pain and tenderness are initially localized and then progress to become generalized. Abdominal guarding, rebound tenderness, rigidity, and an ileus are often present.[] Peritoneal signs of board-like rigidity of the abdominal muscles, rebound tenderness, and abdominal distension with loss of bowel sounds are common findings during attacks[]

  • Perforated Diverticulitis

    Since then, she's experienced intermittent left lower quadrant pain, but this time the pain is worse and persistent.[] Her physical examination revealed diffuse abdominal tenderness and abdominal rebound tenderness.[] Five days prior to admission, he noted a gradual onset of crampy LLQ pain. He had had an episode of left lower quadrant pain 2 years earlier.[]

  • Left-sided Appendicitis

    However, acute appendicitis presenting with left lower quadrant abdominal pain is extremely rare.[] Signs that suggest an acute surgical abdomen include involuntary guarding or rigidity, marked abdominal distention, marked abdominal tenderness, and rebound abdominal tenderness[] Fifty-nine patients had presented to the hospital with left lower, 14 with right lower and seven with bilateral lower quadrant pain, and seven subjects complained of left[]

  • Ovarian Torsion

    An 11-year-old prepubertal girl presented with severe left lower quadrant abdominal pain and mild rebound.[] PATIENT CONCERNS: A 65-year-old woman presented lower left abdominal pain, and there was slight abdominal distension, but no tenderness or rebound tenderness on abdominal[] Abdominal wall guarding and rebound tenderness was noted on examination.[]

  • Ovarian Cyst

    […] bowel movements Pain during sexual intercourse (dyspareunia) Pain in the lower right or left quadrant of the abdomen on one side Nausea and vomiting There are many causes[] […] pain, although presenting no vomiting or abdominal rebound tenderness.[] Diffusely tender abdomen with rebound tenderness and guarding - This may occur if hemorrhage or peritonitis ensues; a distended abdomen may be found on abdominal examination[]

  • Abdominal Visceral Abscess

    It is associated with anorexia, nausea, and vomiting. — Diverticulitis – Left lower quadrant pain is the most common complaint.[] The classic signs and symptoms of peritonitis are fever, abdominal pain, and rebound tenderness. These may be mild or completely absent in cirrhotic patients.[] […] pain (upper) gradual and localised pain (lower) anorexia, nausea and vomiting examination rigid abdomen and generalised tenderness guarding and rebound bowel sounds range[]

  • Ectopic Pregnancy

    A healthy 29-year-old woman who has been trying to conceive presents with vaginal spotting for the past 5 days and intermittent crampy abdominal pain in her left lower quadrant[] Examination Common signs: Pelvic or abdominal tenderness. Adnexal tenderness. Other possible signs: Rebound tenderness. Cervical tenderness. Pallor.[] tenderness or diffuse tenderness with or without rebound or guarding, depending on extent of hemorrhage FAST exam (for free fluid) Laboratory evaluation Quantitative pregnancy[]

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