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70 Possible Causes for Acidosis, Leukocytes Increased, Periumbilical Pain

  • Embolic Mesenteric Infarction

    Diagnosis of Mesenteric Ischemia: No lab is diagnostic, but should be suspicious in the appropriate setting with elevated WBC and metabolic acidosis, especially lactic acidosis[errolozdalga.com] Laboratory findings are nonspecific: These include metabolic acidosis with elevated anion gap, increased lactate levels, and elevated leukocyte counts.[indjvascsurg.org] In the evening on the same day, he complained of acute and persistent periumbilical pain without abdominal distension.[e-jnc.org]

  • Small Bowel Obstruction

    Leukocytosis (P 0.304) and acidosis (P 0.151) were not significantly associated with ischemia or ischemic perforation.[ncbi.nlm.nih.gov] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com] Severe direct tenderness, involuntary guarding, abdominal rigidity, and rebound tenderness suggest advanced SBO, as do marked leukocytosis, neutrophilia, bandemia, and lactic acidosis[ncbi.nlm.nih.gov]

  • Acute Pancreatitis

    Herein, we report the case of a patient who was on HAART and developed zidovudine-induced lactic acidosis, acute pancreatitis, and myopathy.[ncbi.nlm.nih.gov] […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[aafp.org] 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]

  • Mesenteric Infarction

    The development of unexplained acidosis in a postoperative or critically ill patient should prompt a search for a reversible cause of mesenteric ischemia.[ncbi.nlm.nih.gov] 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

    Metabolic acidosis is a late finding and suggests bowel necrosis.[surgwiki.com] 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]

  • Acute Mesenteric Ischemia

    Of these patients, 74 (11.2%) developed lactic acidosis.[aclr.com.es] 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]

  • Meckel Diverticulitis

    His vitals were significant for tachycardia and tachypnea and his labs were significant for lactic acidosis of 2.3 mmol/L, hypokalemic hypochloremic metabolic acidosis (consistent[ijcasereportsandimages.com] The most common initial presentation is a periumbilical, gnawing pain that migrates within a few hours to the right iliac fossa.[surgwiki.com] Metabolic acidosis with low serum bicarbonate (HCO 3 ) may be seen in presentations with perforation and peritonitis.[clinicaladvisor.com]

  • Acute Intermittent Porphyria

    […] an anterior spinal artery syndrome or it can present like an acute transverse myelitis or hypokalemic periodic paralysis related to Sjogren’s syndrome with renal tubular acidosis[ncbi.nlm.nih.gov]

  • Acute Hepatic Porphyria

    She also had lactic acidosis with serum lactate as high as 7.6 in the immediate postoperative period which improved with fluid resuscitation and respiratory management.[omicsonline.org]

  • Hemoperitoneum

    As hypoxia, oliguria, and metabolic acidosis got worse, continuous veno-venous hemodiafiltration and veno-venous extracorporeal membrane oxygenation were applied.[kjccm.org]

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