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2,947 Possible Causes for Abdominal Tenderness, Patient Appears Acutely Ill, Positive STD Test

  • Hepatitis B

    During the incubation period and during the acute phase of the illness, surface antigen-antibody complexes may be found in the sera of some patients.[ncbi.nlm.nih.gov] The liver may also be enlarged and tender. Fulminant hepatitis is a severe but very rare form of acute hepatitis .[verywellhealth.com] The antigen persists during the acute illness and usually clears from the circulation during convalescence.[ncbi.nlm.nih.gov]

  • Hepatitis A

    Less common symptoms include chills, myalgias, arthralgias, cough, diarrhea, constipation, pruritus, and urticaria. 4 Physical signs include tender hepatomegaly, splenomegaly[web.archive.org] […] up to eight weeks 6 and miss about 30 days of work. 8, 9 The preicteric phase lasts five to seven days, with abrupt onset of fever, malaise, anorexia, nausea, vomiting, abdominal[web.archive.org]

  • Urinary Tract Infection

    Patients with a "discharge," or possibility of having an STD, usually will have the discharge tested for STD organisms (for example, Neisseria and Chlamydia).[rxlist.com] Examination findings may include the following: Fever Tachycardia Flank pain/costovertebral angle tenderness Abdominal tenderness in the suprapubic area Scrotal hematoma,[emedicine.medscape.com] A positive urinalysis is usually detection of about two to five leukocytes (white blood cells), about 15 bacteria per high-power microscopic field, and a positive nitrite[rxlist.com]

  • Gonorrhea

    The possibility that positive test results may be false should be considered when patients have unanticipated positive test results.[ncbi.nlm.nih.gov] […] during bimanual pelvic examination Fullness and/or tenderness of the adnexa, unilateral or bilateral (eg, ovaries, fallopian tubes) Lower abdominal pain/tenderness, with[emedicine.medscape.com] Next Steps After Testing Positive for Gonorrhea or Chlamydia Data and Surveillance California STD Data National STD Data Resources for Providers CDC Division of STD Prevention[cdph.ca.gov]

  • Acute Pyelonephritis

    However, patients who appear ill may have severe pyelonephritis or a complication of acute pyelonephritis and should be considered for hospitalization and further evaluation[aafp.org] On physical exam you note suprapubic abdominal pain and CVA tenderness. The urinalysis reveals white blood cell casts.[smartypance.com] Abdominal and/or pelvic pain may be present. Costovertebral angle tenderness to percussion typical.[hopkinsguides.com]

    Missing: Positive STD Test
  • Appendicitis

    Physical examination revealed an abdominal tenderness in the right lower quadrant without rebound tenderness or muscular tension.[ncbi.nlm.nih.gov] Presentation typically mirrors that of non-traumatic appendicitis with nausea, anorexia, fever, and right lower quadrant abdominal tenderness and/or peritonitis.[ncbi.nlm.nih.gov] Appendicitis is acute inflammation of the vermiform appendix, typically resulting in abdominal pain, anorexia, and abdominal tenderness.[merck.com]

    Missing: Positive STD Test
  • Acute Pancreatitis

    Generally patients appear acutely ill and sweaty and report feelings of malaise, while about 20% experience upper abdominal distention attributable to gastric distention or[physio-pedia.com] On physical examination, she has a heart rate of 110 beats per minute and moderate epigastric abdominal tenderness without peritoneal signs.[doi.org] Clinical description Severe upper abdominal pain with abrupt onset, and nausea and vomiting with features of epigastric or diffuse abdominal tenderness are the common clinical[orpha.net]

    Missing: Positive STD Test
  • Acute Cholecystitis

    patient.[ispub.com] On examination she had right mid-abdominal tenderness. Laboratory studies demonstrated leukocytosis with normal liver function tests.[ncbi.nlm.nih.gov] Length of symptoms, gender and the degree of abdominal tenderness were not different between the groups.[sages.org]

    Missing: Positive STD Test
  • Abdominal Visceral Abscess

    The development of the clinical picture is slower than in small bowel obstruction and patients do not appear as ill in comparable stages.[research.ece.ncsu.edu] Physical examination may reveal lower abdominal tenderness. On pelvic exam, the patient may have adnexal tenderness or an adnexal mass.[cdemcurriculum.com] Because abdominal pain, abdominal tenderness, or hepatomegaly is present in only half of cases, many of these patients present with fever of undetermined origin.[what-when-how.com]

    Missing: Positive STD Test
  • Spontaneous Bacterial Peritonitis

    The patient complained of fever, abdominal tenderness, and loose stools and showed all of the signs of peritonitis on physical examination.[ncbi.nlm.nih.gov] On physical exam, there is abdominal distension, diffuse abdominal tenderness to palpation, flank dullness, and a positive fluid wave.[medbullets.com] […] pain abdominal tenderness worsening encephalopathy renal failure INVESTIGATIONS Ascitic Tap – 250-500/mm3 WCC – 250/mm3 neutrophils bacteria are rarely detected on gram stain[lifeinthefastlane.com]

    Missing: Positive STD Test

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