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21 Possible Causes for Decreased Bowel Sounds, Pelvic Hematoma, Tachycardia

  • Retroperitoneal Hematoma

    Non-specific symptoms such tachycardia, hypotension, and anaemia are the most prevalent in this complication.[] One complication of femoral artery catheterization is postprocedure pelvic hematoma. These hematomas can be difficult to differentiate from adnexal masses.[] On arrival, the patient had hypotension, tachycardia, tachypnea, low-grade fever, and Glasgow Coma Scale score of 12.[]

  • Retroperitoneal Hemorrhage

    Signs The patient may develop tachycardia and hypotension if the rate of hemorrhage is rapid.[] Contrast computed tomography (CT) revealed an extensive abdominal-pelvic, retroperitoneal hematoma extending approximately 15 cm in length from above L5 cephalad to below[] On admission, the patient was in shock state, having tachycardia and tachypnea.[]

  • Diverticular Abscess

    Bowel sounds often are decreased but may be normal early in the condition or increased in the presence of obstruction.[] Signs of infection (particularly a spiking fever, but also other signs of SIRS/Sepsis e.g. hypotension, tachycardia etc may also be present) Occasionally change in bowel habit[] […] inflammatory disease, hematoma, tumor, and inflammation of the iliopsoas compartment Diagnostic Tests & Interpretation Initial Tests (lab, imaging) Labs: WBC ( 10,000/mL)[]

  • Traumatic Urinary Bladder Rupture

    bowel sounds, bruising Genitourinary exam: Blood at meatus, gross hematuria, clots in the urine, scrotal/urethral hematoma, free floating or high riding prostate, unstable[] […] injury ICD-9 AIS-90 I Blunt cardiac injury with minor ECG abnormality (nonspecific ST or T wave changes, premature arterial or ventricular contraction or persistent sinus tachycardia[] Additionally, the bladder may assume a teardrop shape secondary to compression from a pelvic hematoma.[]

  • Pelvic Vein Thrombophlebitis

    […] or absent bowel sounds; * nausea; * vomiting; and * increased pulse rate (tachycardia).[] Clinical signs include: fever pain on palpation of uterus midline lower abdominal pain malodorous lochia (vaginal discharge) tachycardia Laboratory results [ edit ] Septic[] Physical exam findings may reveal fever, tachycardia, abdominal tenderness, and signs of peritonitis, all of which are nonspecific for this condition.[]

  • Volvulus

    Patients typically show features of bowel obstruction (abdominal pain, distension, bilious vomiting) or of bowel ischemia and gangrene ( tachycardia, hypotension, hematochezia[] Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[] “Pain out of proportion” as seen in acute mesenteric ischaemia and signs of systemic inflammatory response (tachycardia, fever, tachypnoea and leukocytosis) or peri-tonitis[]

  • Abdominal Injury

    […] pain, nausea, symptoms of shock (coldness, dizziness, weakness) Objective Signs: blood in vomit, faeces, or urine, abdominal rigidity and guarding, signs of shock (low BP, tachycardia[] First this patient is at risk for arterial injury with pelvic hematoma, rectal, vaginal injury and bladder injury.[] Chest, cervical spine and pelvic radiographs showed no abnormalities.[]

  • Pelvic Abscess

    Physical examination on admission revealed tenderness in the lower abdomen with tympanic bowel sounds but no palpable mass. Her body temperature was 37.0 C.[] Pelvic and abdominal pain which is bilateral and aggravated by motion and intercourse, and fever possibly exceeding 103 degrees fahrenheit with leucocytosis, tachycardia,[] […] or diverticulitis • Pelvic hematomas, as may occur after C-section or hysterectomy DON'T FORGET - KNOWLEDGE IS EVERYTHING![]

  • Septic Shock

    sounds Low platelets in the blood High bilirubin levels Tissue Perfusion High lactate in the blood Decreased capillary filling or mottling Medical Disclaimer The information[] A 74-year-old woman presenting with sepsis demonstrated AF tachycardia characterised by severe hypotension.[] The most common complication is low-grade fever, but rarely, pelvic infection, groin hematoma, iliac artery perforation, transient buttock ischemia, transient foot ischemia[]

  • Hemoperitoneum

    Snap Shot A 53-year-old women develops hypotension, sinus tachycardia, and oliguria 24 hours after abdominal surgery for cholecystitis. Her skin is cold and clammy.[] Do not explore pelvic hematomas. Use external fixation of pelvic fractures to reduce or stop blood loss in this region.[] […] those treated with conservative management, and this finding is consistent with previous reports in which some women with acute hemoperitoneum and hypotension did not show tachycardia[]

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