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165 Possible Causes for Abdominal Tenderness, Ileus, Right Flank Pain

  • Intestinal Obstruction

    Another cause of meconium ileus is cystic fibrosis.[patient.info] 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] Physical examination revealed bloating, absence of bowel sounds, abdominal tenderness, and a palpable mass in right hemi-abdomen.[ncbi.nlm.nih.gov]

  • Appendicitis

    As the clinical course progresses, discomfort migrates to the right lower quadrant. Flank pain, ...[accessmedicine.mhmedical.com] Gallstone ileus as the cause of an obstructive gangrenous appendicitis is a very unusual disease presentation that should be kept in mind when finding an unusual appendicolith[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 Cholecystitis

    Symptomatic nephrolithiasis Colic-type pain but location should be below right upper quadrant, more in the flank 16.[clinicaladvisor.com] There was one readmission for ileus. CONCLUSION: Severity grading of AC is not the sole determinant of early LC. Patient comorbidity also impacts clinical decision.[ncbi.nlm.nih.gov] On examination she had right mid-abdominal tenderness. Laboratory studies demonstrated leukocytosis with normal liver function tests.[ncbi.nlm.nih.gov]

  • Subphrenic Abscess

    Additionally, gastrointestinal disorders like ileus may be reported. In some cases, pathological reduction of bowel movements may be the only symptom of an SA.[symptoma.com] A comprehensive list of symptoms includes the following: Pain in the chest and/or upper abdomen on the affected side, and/or shoulder Abdominal tenderness Abdominal swelling[diagnose-me.com] Paralytic ileus is invariably present with generalised peritonitis. The principal signs of peritonitis include tenderness, guarding, rigidity and rebound tenderness.[surgwiki.com]

  • Renal Colic

    We present a case in which a male patient presented with simultaneous right flank pain and ipsilateral scrotal pain.[ncbi.nlm.nih.gov] .  Ileus may occur 21.  Stones 22.  involves first visualizing the stone and then destroying it.  Access to the stone is accomplished by inserting a ureteroscope into[slideshare.net] There may be severe pain in the testis but the testis should not be tender. Blood pressure may be low.[patient.info]

  • Abdominal Visceral Abscess

    Small stone in right ureter (arrow) causing right flank pain.[radiologyassistant.nl] Physical examination may reveal lower abdominal tenderness. On pelvic exam, the patient may have adnexal tenderness or an adnexal mass.[cdemcurriculum.com] For example: Right upper quadrant pain (cholecystitis, cholangitis, hepatic abscess). Right lower quadrant (appendicitis and peri-appendiceal abscess).[cancertherapyadvisor.com]

  • Acute Peritonitis

    General signs and symptoms include 1,2 : fever localised pain and tenderness right lower quadrant pain over appendix (i.e.[radiopaedia.org] Complications:  Systemic complications:  Bacterimic or endotoxic shock  SIRS  MODS  Abdominal Complications:  Paralytic ileus  Residual/recurrent abscess/ Inflammatory[slideshare.net] Abdominal tenderness Abdominal distension Fever Low urine output Point tenderness Thirst Fluid in the abdomen Constipation Inability to pass faeces gas Signs of shock in extreme[cahabavalleysurgical.com]

  • Retrocecal Appendicitis

    RESULTS: Patients presented with right lower abdominal pain (49%, 16/33), right flank pain (24%, 8/33), right upper abdominal pain (18%, 6/33), and periumbilical pain (15%[ncbi.nlm.nih.gov] […] old and obese patient The laparoscopic approach in emergency cases is revolutionary and provides a solution to prevent morbidity related to laparotomy, such as paralytic ileus[websurg.com] Fever occurs in 70% of cases (often absent in elderly and immunosuppressed patients) Abdominal tenderness Present in 95% of patients Cutaneous hyperesthesia may be present[faculty.washington.edu]

  • Cholelithiasis

    Charcot triad: fever, jaundice, right upper quadrant pain Reynolds pentad: fever, jaundice, right upper quadrant pain, hemodynamic instability, mental status changes; classically[unboundmedicine.com] Two of the patients presented with acute cholangitis and 2 presented with bowel obstruction due to gallstone ileus.[ncbi.nlm.nih.gov] tenderness can easily be misleading.[ncbi.nlm.nih.gov]

  • Biliary Colic

    View larger version (213K) Fig. 3A — Acute cholecystitis in 67-year-old woman with Murphy sign and right upper quadrant and right flank pain.[doi.org] Rarely, a gallstone can become impacted in the ileocecal valve that joins the caecum and the ileum, causing gallstone ileus (mechanical ileus).Complications from delayed surgery[en.wikipedia.org] […] aching for 1-2 days after attack C) Associated symptoms 1) Nausea and Vomiting 2) No Fever or chills Signs - Right Upper Quadrant abdominal tenderness - No signs of peritoneal[slideshare.net]

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