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44 Possible Causes for Absent Bowel Sounds, Leukocytes Increased, Periumbilical Pain

  • Appendicitis

    bowel sounds.[medical-dictionary.thefreedictionary.com] Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[step2.medbullets.com] 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[britannica.com]

  • Embolic Mesenteric Infarction

    […] decreases, resulting in abdominal bloating, no further bloody stools, and absent bowel sounds on exam.[parasitetesting.com] Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com] Laboratory findings are nonspecific: These include metabolic acidosis with elevated anion gap, increased lactate levels, and elevated leukocyte counts.[indjvascsurg.org]

  • Mesenteric Infarction

    Examination reveals a markedly distended abdomen and absent bowel sounds. Lab studies show an elevated WBC count and a lactate of 4.3 mmol/L.[foamcast.org] The most common is the 10—30 minutes postprandial occurring dull abdominal pain. It is periumbilically localized and lasts for one to four hours.[lecturio.com] Laboratory tests showed an increased leukocyte count of 12000 /µL with left shift (Neut: 87%).[ispub.com]

  • Mesenteric Vein Thrombosis

    A 76-year-old Caucasian man presented with acute onset of intense periumbilical abdominal pain associated with nonbloody diarrhea.[accesssurgery.mhmedical.com] […] and lower abdominal pain for 1 week.[mdedge.com] […] patients with MVT. 1 Peritoneal signs and bloody stools portend poor outcomes, as they often occur with disease progression. 4 Case A 26-year-old man presented to the ED with periumbilical[mdedge.com]

  • 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: gkasot@bu.edu.[…][ncbi.nlm.nih.gov]

  • Perforated Appendix

    bowel sounds.[medical-dictionary.thefreedictionary.com] 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[pathologyoutlines.com] Bowel sounds will be decreased or absent. A blood test will be given, because an increased white cell count may help confirm a diagnosis of appendicitis.[encyclopedia.com]

  • Small Bowel Obstruction

    Examination reveals a markedly distended abdomen and absent bowel sounds. Lab studies show an elevated WBC count and a lactate of 4.3 mmol/L.[foamcast.org] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com] absent bowel sounds Tender abdominal mass Closed loop Bowel Obstruction may be palpable Abdominal Distention and tympany on percussion Indicates distal obstruction Abdominal[fpnotebook.com]

  • Acute Mesenteric Ischemia

    Examination reveals a markedly distended abdomen and absent bowel sounds. Lab studies show an elevated WBC count and a lactate of 4.3 mmol/L.[foamcast.org] We present the case of an 84-year-old woman who presented to our emergency department complaining of an acute worsening of pre-existing abdominal periumbilical pain, nausea[ncbi.nlm.nih.gov] This was higher in older patients, those with increased leukocyte levels, increased elapsed time to laparotomy, and when the colon was involved.[ncbi.nlm.nih.gov]

  • Acute Peritonitis

    The abdomen is often distended, with hypoactive-to-absent bowel sounds.[emedicine.medscape.com] 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 .[radiopaedia.org] increased production of Con A-stimulated tumor necrosis factor (TNF)-α and lipopolysaccharide (LPS)-stimulated IFN-γ in the leukocytes.[ncbi.nlm.nih.gov]

  • Acute Pancreatitis

    […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[aafp.org] Physical examination findings most specific for the patient with acute pancreatitis include upper abdominal tenderness and diminished, but not absent, bowel sounds.[clinicaladvisor.com] 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[ncbi.nlm.nih.gov]

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