Possible Causes for decreased bowel sounds Pelvic Inflammatory Disease On physical examination, there is usually diffuse tenderness in the lower quadrants with rebound tenderness and decreased bowel sounds being common. [pedclerk.bsd.uchicago.edu] Ileus […] flatus, decreased bowel sounds and decreased stool output. [cancertherapyadvisor.com] bowel sounds hypovolemia History & Exam Details Diagnostic Tests 1st Tests To Order serum electrolytes serum magnesium CBC abdominal x-ray Other Tests to Consider serum LFTs [online.epocrates.com] But often the distinguishing feature can be cramping abdominal pain and hyperactive or high pitched bowel sounds. [cancertherapyadvisor.com] Hyponatremia Hyponatremia is the most common electrolyte disorder in hospitalized patients associated with increased morbidity and mortality. On the other hand, inappropriate treatment of hyponatremia (under- or mainly overtreatment) may also lead to devastating consequences. The appropriate diagnosis of the causative factor[…] [ncbi.nlm.nih.gov] Renal Colic The differential diagnosis of acute flank pain includes kidney stones, urinary tract infection, dissecting abdominal aortic aneurysm (AAA), arterial or venous compromise of the kidney, renal abscess, renal carcinoma, and papillary necrosis. This is a report of an unusual cause of renal colic: pyelocalyceal diverticulum.[…] [ncbi.nlm.nih.gov] Appendicitis This will be removed when all of the following occur: The amount of fluid draining from the tube has decreased There are active bowel sounds (gurgling sounds made by the intestines [cincinnatichildrens.org] bowel sounds. [medical-dictionary.thefreedictionary.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] Paralytic Ileus Additional symptoms that may accompany the condition are nausea, abdominal distention, vomiting, decreased bowel sounds, and also a mild level of tenderness over the abdomen [constipation-remedies.co.uk] Surgery, peritonitis, electrolyte abnormalities, medications, severe medical illness Nausea, vomiting, obstipation, distention Minimal abdominal tenderness, decreased bowel [quizlet.com] bowel sounds Extremity Examination: Extremity Examination Warm acrals Oedema - - - - - - - - LABORATORY FINDING may, 21, 2012 : LABORATORY FINDING may, 21, 2012 Blood Results [authorstream.com] Acute Pancreatitis Physical exam shows low grade fever, epigastric tenderness, and decreased bowel sounds. [medbullets.com] Physical examination demonstrated a distended abdomen, decreased bowel sounds, and diffuse tenderness to palpation. [pancreas.imedpub.com] Patients may have an ileus resulting in decreased bowel sounds and abdominal distention. Marked abdominal tenderness occurs, most often in the upper abdomen. [msdmanuals.com] Pancreatitis Patients may have an ileus resulting in decreased bowel sounds and abdominal distention. Marked abdominal tenderness occurs, most often in the upper abdomen. [msdmanuals.com] Bowel sounds are typically decreased. Jaundice may be present. In severe disease, patients may present with altered mental status. [aafp.org] Embolic Mesenteric Infarction Abdominal exam is significant for decreased bowel sounds and diffuse tenderness. What is the best next step in management for this patient? [statpearls.com] Abdominal examination revealed periumbilical and epigastric tenderness with decreased bowel sounds. [annals.in] decreases, resulting in abdominal bloating, no further bloody stools, and absent bowel sounds on exam. [parasitetesting.com] Pneumococcal Pneumonia We describe a case of bacteremic, leukopenic pneumococcal pneumonia with respiratory failure, accompanied by diabetic ketoacidosis and hypothermia. Pulmonary leukostasis may play a role in the pathogenesis of the acute respiratory distress syndrome (ARDS) in pneumococcal pneumonia. The patient recovered with[…] [ncbi.nlm.nih.gov] Intestinal Infarction decreases, resulting in abdominal bloating, no further bloody stools, and absent bowel sounds on exam. [en.wikipedia.org] A paralytic phase can follow if ischemia continues; in this phase, the abdominal pain becomes more widespread, the belly becomes more tender to the touch, and bowel motility [en.wikipedia.org] Mesenteric Infarction […] in abdominal bloating, constipation, no further bloody stools, and an absence of bowel sounds. [diagnose-me.com] The paralytic stage may follow if ischemia continues: abdominal pain becomes more widespread, the belly becomes more tender to the touch, and bowel motility decreases, resulting [diagnose-me.com] Acute Peritonitis Tenderness and generalized guarding Decreased bowel sounds as Paralytic ileus sets in Increased temperature and pulse 15. [slideshare.net] Abdominal Rebound tenderness with guarding May have referred pain to shoulder Rigid, distended abdomen Bowel sounds decrease to absent Acute Care Management Nursing Diagnosis [nursingcrib.com] Pulmonary Breath sounds may be diminished secondary to shallow breathing. [nursingcrib.com] Diverticular Abscess Bowel sounds often are decreased but may be normal early in the condition or increased in the presence of obstruction. [aafp.org] sounds) Thrombocytopenia (platelet count –1 ) Hyperbilirubinemia (plasma total bilirubin 4 mg/dL or 70 μmol/L) Tissue perfusion variables: Hyperlactatemia ( 1 mmol/L) Decreased [liebertpub.com] Arterial hypoxemia (PaO 2 /F i O 2 Acute oliguria (urine output Creatinine increase 0.5 mg/dL or 44.2 μmol/L Coagulation abnormalities (INR 1.5 or aPTT 60 sec) Ileus (absent bowel [liebertpub.com] Septicemia Septicemia due to Pasteurella (Mannheimia) haemolytica is a rare occurrence. We report a fatal case of M. haemolytica septicemia in a seven-month-old infant who presented with prolonged fever, sepsis, and pneumonitis without discernable preceding history of animal bites or contact. Rare cases of systemic Mannheimia[…] [ncbi.nlm.nih.gov] Abdominal Aortic Thrombosis Takayasu's arteritis (TA) is a chronic, idiopathic, inflammatory disease affecting the aorta and its branches. To date, only one case involving abdominal aortic thrombosis due to TA has been reported. After bilateral artificial subclavian-iliac bypass, a case of abdominal aortic thrombosis due to TA received a delayed[…] [ncbi.nlm.nih.gov] Pelvic Fracture Abstract Superior gluteal artery injury is a rare but well-known complication of abdominal trauma, usually in association with pelvic fractures. Embolization has become the most effective treatment for pelvic hemorrhage with regard to superior gluteal artery injury, due to difficult surgical access. We report an[…] [ncbi.nlm.nih.gov] Hypokalemia […] due to weakness of accessory muscle movement to breath) Confusion, weak Flaccid paralysis Decrease deep tendon reflexes Decreased bowel sounds Easy way to Remember 7 L’s Lethargy [registerednursern.com] He had hypoactive bowel sounds, but otherwise his abdominal examination was unremarkable. [nejm.org] Weak pulses (irregular and thread) Orthostatic Hypotension Depression ST, flat or inverted T wave and prominent u-wave Shallow respirations with diminished breath sounds…. [registerednursern.com] Acute Hepatic Porphyria bowel sounds and diarrhea in some patients. [symptoma.com] Constipation, abdominal distention, and decreased bowel sounds are common. Increased bowel sounds and diarrhea are less common. [ashpublications.org] Most important symptoms are related to the gastrointestinal tract and include intense and nonspecific abdominal pain that may be cramping, constipation, nausea, vomiting, decreased [symptoma.com] Diverticulitis of the Colon Three cases of perforated diverticulitis of the transverse colon are added to 19 case reports in the English literature. This unusual disease entity is usually confused with acute appendicitis prior to operation and with carcinoma of the colon during the procedure. The cause of these diverticula is unclear, and[…] [ncbi.nlm.nih.gov] Acute Mesenteric Ischemia Acute mesenteric ischemia (AMI) is a life-threatening emergency. The complications are high by the time of diagnosis in most cases and therefore only few data on primary percutaneous intervention with percutaneous transluminal angioplasty (PTA) and stenting in AMI are available. We present the case of an[…] [ncbi.nlm.nih.gov] Mesenteric Vein Thrombosis Mesenteric venous thrombosis (MVT) is an uncommon clinical condition with potential high morbidity. We report here a patient who presented with acute-onset MVT and bowel infarction, which was successfully ameliorated with intramesenteric vein thrombolytic therapy. [ncbi.nlm.nih.gov] Diabetic Ketoacidosis We present a case study on a man who suffered from diabetic ketoacidosis, probably following consumption of synthetic cannabinoids. In blood from a femoral vein AB-CHMINACA, AB-FUBINACA, AM-2201, 5F-AMB, 5F-APINACA, EAM-2201, JWH-018, JWH-122, MAM-2201, STS135 and THJ 2201 could be detected by LC-MS/MS. Diagnosis of[…] [ncbi.nlm.nih.gov] Peritonitis Luteinized thecomas with sclerosing peritonitis (LTSP) is a rare disease characterized by ovarian luteinized thecomas and associated fibrosing peritonitis. Cutaneous involvement has never been reported. We report a case of classical LTSP with skin involvement, outlining the clinical and histopathologic features of this[…] [ncbi.nlm.nih.gov] Abdominal Angina […] in abdominal bloating, constipation, no further bloody stools, and an absence of bowel sounds. [diagnose-me.com] The paralytic stage may follow if ischemia continues: abdominal pain becomes more widespread, the belly becomes more tender to the touch, and bowel motility decreases, resulting [diagnose-me.com] Spontaneous Bacterial Peritonitis Streptococcus bovis is the rare cause of spontaneous bacterial peritonitis in decompensated cirrhosis. S. bovis bacteremia has long been known to be associated with colon cancer. We describe seven patients and review the seven previous reports of spontaneous bacterial peritonitis patients with S. bovis infection.[…] [ncbi.nlm.nih.gov] Subphrenic Abscess A case of left-sided subphrenic abscess, secondary to perforation of a carcinoma of stomach, is described. The patient presented with a palpable spleen which was shown to be normal in size but displaced by the subphrenic collection. The importance of correct interpretation of this physical sign is discussed. [ncbi.nlm.nih.gov] Abdominal Injury The purpose of this study was to determine the prevalence of intraperitoneal fluid (IF) in blunt trauma patients with intra-abdominal injuries, to determine the rate of exploratory laparotomy in patients with and without IF, and to identify the location of this IF. We retrospectively reviewed the records of 604[…] [ncbi.nlm.nih.gov] Biliary Peritonitis Specific signs and symptoms of spontaneous peritonitis include: Fluid in the abdomen; abdominal pain and distention; tenderness; decreased bowel sounds; inability to pass [diagnose-me.com] Anticholinergic Toxicity Additional manifestations include the following: Sinus tachycardia Decreased bowel sounds Functional ileus Hypertension Tremulousness Myoclonic jerking Patients with central [emedicine.medscape.com] bowel sounds Functional ileus Urinary retention Hypertension Tremulousness Myoclonic jerking See Clinical Presentation for more detail. [emedicine.medscape.com] Additional symptoms can include: · “Sinus tachycardia · Decreased bowel sounds · Functional ileus · Urinary retention · Hypertension · Tremulousness · Myoclonic jerking Patients [em.umaryland.edu]
