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23 Possible Causes for Abdominal Tenderness, Decreased Bowel Sounds, Pelvic Hematoma

  • Volvulus

    Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[omicsonline.org] Physical examination revealed central abdominal tenderness but no clinical features of peritonism.[ncbi.nlm.nih.gov] The physical examination revealed hypoactive bowel sounds and diffuse abdominal tenderness with rebound; there was no fever, abdominal rigidity, or guarding.[nejm.org]

  • Hemoperitoneum

    Do not explore pelvic hematomas. Use external fixation of pelvic fractures to reduce or stop blood loss in this region.[emedicine.medscape.com] : Heterotopic pregnancy should be kept in the differential diagnosis of any patient with an intrauterine pregnancy presenting with abdominal pain, abdominal tenderness, or[ncbi.nlm.nih.gov] An otherwise healthy 81-year-old man presented with abdominal pain/tenderness and anemia (hemoglobin: 7.4 g/dL).[ncbi.nlm.nih.gov]

  • Abdominal Injury

    First this patient is at risk for arterial injury with pelvic hematoma, rectal, vaginal injury and bladder injury.[radiologyassistant.nl] Patients with an SBS but without abdominal pain or tenderness appear to be at low risk for IAI.[ncbi.nlm.nih.gov] Chest, cervical spine and pelvic radiographs showed no abnormalities.[bmcsurg.biomedcentral.com]

  • Retroperitoneal Hematoma

    One complication of femoral artery catheterization is postprocedure pelvic hematoma. These hematomas can be difficult to differentiate from adnexal masses.[ncbi.nlm.nih.gov] Signs and Symptoms of Renal Trauma Acute signs and symptoms: History of abdominal trauma or deceleration injury Bruising and hematoma of abdomen or flank Abdominal tenderness[urology-textbook.com] Lower abdominal tenderness ipsilateral to the puncture site was another common finding and underscores the importance of a careful physical examination of the abdomen in evaluating[onlinejacc.org]

  • Diverticular Abscess

    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] […] rebound abdominal tenderness R10826Epigastric rebound abdominal tenderness R10827Generalized rebound abdominal tenderness R10829Rebound abdominal tenderness, unspecified[cms.gov]

  • Traumatic Urinary Bladder Rupture

    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] Sign and Symptoms of Bladder Injury Pelvic fracture: Pelvic pain, pelvic instability, shock, gluteal hematoma, abdominal tenderness.[urology-textbook.com]

  • Intestinal Obstruction

    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] Vomiting (161, 74.2%), abdominal pain (152, 70%), abdominal tenderness (113, 52.1%), constipation (111, 51.2%), and abdominal distension (104, 47.9%) were the predominant[ncbi.nlm.nih.gov]

  • Retroperitoneal Hemorrhage

    Contrast computed tomography (CT) revealed an extensive abdominal-pelvic, retroperitoneal hematoma extending approximately 15 cm in length from above L5 cephalad to below[ncbi.nlm.nih.gov] Check local abdominal tenderness, and sometimes in the abdomen, side of the palpable mass in the abdomen or the waist or full, in general no or only mild abdominal strain.When[pgmedic.blogspot.com] Surgery After blunt trauma, selected retroperitoneal hematomas in the lateral perirenal and pelvic areas do not require operation and should not be opened if discovered at[medicalopedia.org]

  • Intraperitoneal Abscess in the Right Lower Quadrant

    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] […] rebound abdominal tenderness R10826Epigastric rebound abdominal tenderness R10827Generalized rebound abdominal tenderness R10829Rebound abdominal tenderness, unspecified[cms.gov]

  • Pelvic Abscess

    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] Systemic Symptoms Include: Fever Body malaise Nausea Vomiting Anorexia Localized Symptoms: Abdominal pain Abdominal tenderness Diarrhea Rectal mucous discharges Urinary frequency[simple-remedies.com]

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