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16 Possible Causes for Cullen's Sign, Endometriosis, Syncope

  • Ectopic Pregnancy

    Syncope or hemorrhagic shock can occur with rupture. Diagnosis is by measurement of the beta subunit of human chorionic gonadotropin and ultrasonography.[msdmanuals.com] All identified risk factors are maternal: pelvic inflammatory disease, Chlamydia trachomatis infection, smoking, tubal surgery, induced conception cycle, and endometriosis[ncbi.nlm.nih.gov] Rupture may be heralded by sudden, severe pain, followed by syncope or by symptoms and signs of hemorrhagic shock or peritonitis.[merckmanuals.com]

  • Gastrointestinal Hemorrhage

    Cullen's sign is the term used to refer to the appearance of bruising surrounding the navel.[medicinenet.com] […] gastric acid) Melaena – black tarry stools (digested blood) Haematochezia – passage of fresh blood per rectum (can occur in profuse upper gastrointestinal haemorrhage) Pre-syncope[geekymedics.com] Consider testing for H. pylori if appropriate Upper GI Endoscopy Both an investigation and a therapy Urgent endoscopy for upper GI haemorrhage is typically indicated if: Syncope[lifeinthefastlane.com]

  • Ruptured Aortic Aneurysm

    Other common symptoms include syncope and vomiting.[patient.info] 0·0) 57·8 ( 66·54 to 43·72) Polycystic ovarian syndrome 0·2 (0·1 to 0·3) 0·1 (0·1 to 0·2) 56·2 ( 63·48 to 29·90) 0·0 (0·0 to 0·0) 0·0 (0·0 to 0·0) 68·5 ( 73·81 to 49·56) Endometriosis[ncbi.nlm.nih.gov] (or near-syncope) is common though hemodynamic compensation may result in near-normalization of blood pressure Physical Exam Large, palpable abdominal mass Aortic pulsation[coreem.net]

  • Bleeding from an Ectopic Pregnancy

    ., tachycardia , hypotension , syncope More common in interstitial pregnancy References: [10] [11] [12] Diagnostics Positive pregnancy test : β-hCG Serum test: β-hCG verifiable[amboss.com] Abdominal examination: Cullen’s sign: a periumbilical bluish discoloration may be present due to absorption of the blood in the peritoneal cavity by lymphatics.[gfmer.ch] There are also some gynecologic conditions, such as endometriosis or uterine fibroids, which may be associated with heavy periods.[zocdoc.com]

  • Tubal Pregnancy

    Abdominal examination: Cullen’s sign: a periumbilical bluish discoloration may be present due to absorption of the blood in the peritoneal cavity by lymphatics.[gfmer.ch] Rupture may be heralded by sudden, severe pain, followed by syncope or by symptoms and signs of hemorrhagic shock or peritonitis.[merckmanuals.com] Another common reason tubes get blocked is endometriosis. This is when cells from the lining of the uterus grow outside the uterus.[familydoctor.org]

  • Leaking Aortic Aneurysm

    Other common symptoms include syncope and vomiting.[patient.info] Bowel endometriosis: presentation, diagnosis, and treatment V Remorgida, S Ferrero, E Fulcheri, N Ragni, DC Martin Obstetrical & gynecological survey 62 (7), 461-470 , 2007[scholar.google.com.br] Common symptoms of rupturing/leaking abdominal aneurysm * Hematuria * Severe flank pain * Abdominal pulsating mass * Severe abdominal pain * Severe back pain * Hypertension * Syncope[nursingcenter.com]

  • Hypovolemia

    Bleeding into the abdominal cavity can cause the classical bruising patterns of Grey Turner's sign (bruising along the sides) or Cullen's sign (around the navel).[en.wikipedia.org] Time to pre-syncope was scaled from 100%-0%.[ncbi.nlm.nih.gov] […] traumatic injuries due to accidents internal bleeding from abdominal organs or ruptured ectopic pregnancy bleeding from the digestive tract significant vaginal bleeding Endometriosis[healthline.com]

  • Anemia

    Cardiovascular symptoms include syncope, dyspnea, orthopnea, palpitations, and angina.[web.archive.org] Flank ecchymosis (Grey-Turner sign) suggests retroperitoneal hemorrhage, whereas umbilical ecchymosis (Cullen sign) suggests intraperitoneal or retroperitoneal bleeding.[emedicine.com] Endometriosis If a woman has endometriosis she may have heavy blood loss that she can not see because it is hidden in the abdominal or pelvic area.[healthline.com]

  • Pancreatitis

    Occasionally, patients may present with syncope or subjective fever.[aafp.org] (Rare) signs of hemorrhage on the physical exam include: Cullen sign : periumbilical bruising Grey-Turner sign : flank bruising There continues to be debate over the precipitating[radiopaedia.org] Read more about Talking through problems Sexuality explained Endometriosis know the facts Talking through problems Cyberbullying When someone uses instant messaging or chat[betterhealth.vic.gov.au]

  • Ruptured Ectopic Pregnancy

    ) adnexal tenderness or mass abdominal tenderness, rebounding, or guarding Cullen sign: blue discoloration around umbilicus suggesting retroperitoneal hemorrhage uterine enlargement[sharinginhealth.com] These include hypotension, tachycardia, pale, cool skin, near-syncope, and syncope. What must you do immediately? Continuously assess and support Mrs.[journals.lww.com] The patient also experienced near syncope during bowel movements three times three days ago without falling or losing consciousness.[jetem.org]

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