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56 Possible Causes for Abdominal Rigidity, Leukocytes Increased, Periumbilical Pain

  • Appendicitis

    Abdominal rigidity is highly specific (83%) with a low sensitivity (27%).[] Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[] Doctors try to establish whether a patient may have appendicitis by measuring the number of white blood cells (leukocytes), which often increase from the normal count of between[]

  • Acute Pancreatitis

    An abdominal examination may reveal bloating, exquisite tenderness or rigidity – stiffness due to muscular contractions in your abdominal wall.[] […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[] The expression levels of IL-6 and TNF-α mRNAs and proteins were significantly increased in leukocytes from AEP and ANP rats, compared with the levels in the control animals[]

  • Mesenteric Infarction

    Examination  normal abdominal examination in the face of severe abdominal pain.  No signs of peritonitis.  abdominal tenderness ,guarding, rigidity .  These signs develop[] The most common is the 10—30 minutes postprandial occurring dull abdominal pain. It is periumbilically localized and lasts for one to four hours.[] Laboratory tests showed an increased leukocyte count of 12000 /µL with left shift (Neut: 87%).[]

  • Mesenteric Vein Thrombosis

    As ischemia progresses to necrosis, peritoneal signs evolve, including involuntary guarding, rebound, and abdominal wall rigidity.[] A 76-year-old Caucasian man presented with acute onset of intense periumbilical abdominal pain associated with nonbloody diarrhea.[] […] and lower abdominal pain for 1 week.[]

  • Hemoperitoneum

    Surg Clin North Am. 2014 Feb;94(1):65-9. doi: 10.1016/j.suc.2013.10.006. Epub 2013 Oct 30. Author information 1 Section of Trauma & Acute Care Surgery, Boston Medical Center, Boston University School of Medicine, 840 Harrison Avenue, Dowling 2 South, #2414, Boston, MA 02118, USA. Electronic address:[…][]

  • Small Bowel Obstruction

    Severe direct tenderness, involuntary guarding, abdominal rigidity, and rebound tenderness suggest advanced SBO, as do marked leukocytosis, neutrophilia, bandemia, and lactic[] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[] Physical exam may reveal restlessness, acute illness, and signs of dehydration and sepsis, including tachycardia, pyrexia, dry mucous membranes, hypotension/orthostasis, abdominal[]

  • Acute Peritonitis

    Other symptoms [ edit ] Diffuse abdominal rigidity (" abdominal guarding ") is often present, especially in generalized peritonitis Fever Sinus tachycardia Development of[] The classical presentation consists of periumbilical pain (referred) which within a day or later localises to McBurney point with associated fever, nausea and vomiting 2 .[] increased production of Con A-stimulated tumor necrosis factor (TNF)-α and lipopolysaccharide (LPS)-stimulated IFN-γ in the leukocytes.[]

  • Embolic Mesenteric Infarction

    Later, as necrosis develops, signs of peritonitis appear, with marked abdominal tenderness, guarding, rigidity, and no bowel sounds.[] Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[] Laboratory findings are nonspecific: These include metabolic acidosis with elevated anion gap, increased lactate levels, and elevated leukocyte counts.[]

  • Meckel Diverticulitis

    Lack of abdominal rigidity and presence of pus and organisms in the urine indicate the diagnosis.[] Yet, there was no rigidity or guarding. On investigation white blood cell count was 9.79x10 3 /uL and hemoglobin was 14.35 g/dl.[] ., periumbilical tenderness and intermittent crampy abdominal pain. Perforation of the inflamed diverticulum can result in peritonitis.[]

  • Perforated Appendix

    Symptoms of more advanced appendicitis include: abdominal swelling and rigidity pain on the right side of the abdomen when pressed on the left side These are both signs that[] pain radiating to the right lower quadrant Acute appendicitis has myriads of clinical mimics Grossly normal appendix must be studied histologically as a gross exam may miss[] If the appendix perforates, the patient may briefly feel better, followed by rapid deterioration, intense abdominal pain, spasms of the abdominal wall muscles (rigidity),[]

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