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463 Possible Causes for Abdominal Tenderness, Gastric Pain, Leukocytosis

  • Duodenal Ulcer

    Both types of ulcer cause pain, particularly gastric pain, climbing up to the esophagus. However, with a gastric ulcer, pain cannot be relieved by eating foods.[] His blood pressure was 154/65 mmHg and he had no abdominal tenderness.[] Specialty Gastroenterology, emergency medicine Symptoms Abdominal pain, tenderness[2] Complications Sepsis, abscess[2] Usual onset Sudden or more gradual[2] Causes Trauma,[]

  • Pancreatitis

    Acute pancreatitis generally causes severe pain and the sufferer will need emergency treatment in a hospital.[] Laboratory studies revealed mild leukocytosis, increased levels of serum lipase, amylase, and C-reactive protein (CRP).[] […] rate, abdominal tenderness, and sometimes jaundice and even shock.[]

  • Inflammatory Bowel Disease Type 1

    Intestinal abscesses (localized pockets of pus caused by a bacteria) can cause abdominal pain, tenderness, and fever.[] Fever and neutrophilic leukocytosis are also common features.[] Other symptoms include: abdominal tenderness or swelling blood in the stool fatigue fever loss of appetite rectal bleeding stomach cramps weight loss Some symptoms do not[]

  • Acute Cholecystitis

    […] upper abdominal pain that improves with eating.[1] With a gastric ulcer, the pain may worsen with eating.[8] The pain is often described as a burning or dull ache.[1] Other[] Laboratory studies demonstrated leukocytosis with normal liver function tests.[] Laboratory data showed leukocytosis and mild increasement of liver enzymes.[]

  • Stomach Perforation

    A complete blood count (CBC) may reveal parameters suggestive of infection (eg, leukocytosis), though leukocytosis may be absent in elderly patients.[] […] in the epigastrium to the right of the midline indicating the perforation of a duodenal ulcer, while a gastric ulcer perforation reveals itself by burning pain in epigastrium[] There is usually an accompanying generalised abdominal tenderness, worse on movement (known as the rigid abdomen).[]

  • Cholelithiasis

    Steatorrhea, dark amber urine, constipation, jaundice, clay colored stools, pruritus (itchy) Lab values WBC count elevated (leukocytosis) normal is 5-10K, liver function studies[] tenderness can easily be misleading.[] Laboratory values include a mild leukocytosis (typically less than 15,000), and mildly abnormal transaminases. An elevated amylase suggests gallstone pancreatitis.[]

  • Gastric Ulcer

    Epigastric pain which occurs after meals is the most common symptom of gastric ulcers. Abdominal pain is the most common symptom of gastric ulcer.[] Laboratory studies are not useful in the acute setting as they tend to be nonspecific, but leukocytosis, metabolic acidosis, and elevated serum amylase may be associated with[] RESULTS: Of the 183 patients, 57 who were treated conservatively had less abdominal tenderness, lower levels of serum C-reactive protein, and shorter time to presentation[]

  • Acute Pancreatitis

    If patient experiences reduced abdominal pain after vomiting, then obstruction is a likely etiology.[] Imaging showed a left-sided pleural effusion and persistent leukocytosis.[] On physical examination, she has a heart rate of 110 beats per minute and moderate epigastric abdominal tenderness without peritoneal signs.[]

  • Choledocholithiasis

    Individuals with acute cholecystitis present with right upper quadrant pain, fever, and leukocytosis. Management includes supportive care and cholecystectomy.[] Jaundice, fever with chills Painless jaundice Biliary colic usually lasting 6 hours, nausea Abdominal pain Signs Jaundice,abdominal tenderness Fever, right upper quadrant[] Leukocytosis and Bacteremia are frequently present There is no need for empiric abx in patients with choledocholithiasis in the absence of cholangitis Rather than antibiotics[]

  • Abdominal Visceral Abscess

    EPIGASTRIC abdominal pain differential diagnosis: Pancreatic and gastric etiologies often cause epigastric pain. — Acute myocardial infarction – Epigastric pain can be the[] Clinical criteria of success include resolution of symptoms and indicators of infection (fever and leukocytosis).[] Physical examination may reveal lower abdominal tenderness. On pelvic exam, the patient may have adnexal tenderness or an adnexal mass.[]

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