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Acute Gastroenteritis
This article is available to subscribers. Already subscribed? Sign in . Original Article Free Preview Archive Thomas A. Parrino, M.D., David S. Schreiber, M.D., Jerry S. Trier, M.D., Albert Z. Kapikian, M.D., and Neil R. Blacklow, M.D. Abstract To examine immunity in viral gastroenteritis, we challenged and then rechallenged 12[…][nejm.org]
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Small Bowel Obstruction
Signs Bowel sounds Initial: High pitched, hyperactive bowel sounds Later: hypoactive or absent bowel sounds Tender abdominal mass Closed loop Bowel Obstruction may be palpable[fpnotebook.com]
On the other hand, if very hyperactive bowel sounds are heard they are indicative of mechanical obstruction.[symptoma.com]
Her physical exam reveals hyperactive bowel sounds, diffuse abdominal tenderness and distention. An abdominal x-ray is shown below.[medbullets.com]
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Large Bowel Obstruction
At first, enteric stimuli resulting from the obstruction cause an increase in propulsive activity, causing hyperactive bowel sounds.[clinicaladvisor.com]
Hyperactive, high-pitched bowels sounds at the beginning and then hypoactive bowel sounds as obstruction progresses and bowel muscles fatigue. Tachycardia. Fever.[clinicaladvisor.com]
The end results can be bowel ischemia, necrosis, and/or perforation.[clinicaladvisor.com]
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Graft-versus-Host-Disease
bowel sounds may accompany secretory diarrhea of acute GVHD; in severe ileus, the abdomen is silent and appears distended Neuromuscular – Findings of myasthenia gravis, polymyositis[emedicine.medscape.com]
[…] buccal and labial mucosae in chronic GVHD Pulmonary – Prolonged expiratory breathing phase (wheezes) from bronchiolitis obliterans GI – Diffuse abdominal tenderness with hyperactive[emedicine.medscape.com]
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Intestinal Obstruction
Hyperactive bowel sounds occur early as gastrointestinal (GI) contents attempt to overcome the obstruction; hypoactive bowel sounds occur later in the disease process.[emedicine.medscape.com]
[…] obstruction (SBO). [ 3 ] The duodenal or proximal small bowel has less distention when obstructed than the distal bowel has when obstructed.[emedicine.medscape.com]
(60%) Fever and tachycardia: Late findings; may be associated with strangulation Physical Examination Abdominal distention is present in about 60% of patients with small-bowel[emedicine.medscape.com]
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Recurrent Small Bowel Obstruction
Signs Bowel sounds Initial: High pitched, hyperactive bowel sounds Later: hypoactive or absent bowel sounds Tender abdominal mass Closed loop Bowel Obstruction may be palpable[fpnotebook.com]
sounds, which are unreliable but may be hyperactive early in an obstruction or hypoactive/absent as the bowel distends Abdominal tenderness: mild diffuse tenderness is common[clinicaladvisor.com]
Diagnosis: Factors predicting Bowel Obstruction History of prior surgery Constipation history Age over 50 years Vomiting Abdominal distention Hyperactive bowel sounds XI.[fpnotebook.com]
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Partial Small Bowel Obstruction
Signs Bowel sounds Initial: High pitched, hyperactive bowel sounds Later: hypoactive or absent bowel sounds Tender abdominal mass Closed loop Bowel Obstruction may be palpable[fpnotebook.com]
Her physical exam reveals hyperactive bowel sounds, diffuse abdominal tenderness and distention. An abdominal x-ray is shown below.[medbullets.com]
Physical Exam Physical examination findings include: abdominal distension (more prevalent in distal obstructions), hyperactive bowel sounds (early), or hypoactive bowel sounds[saem.org]
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Volvulus
Bowel sounds are initially hyperactive becoming absent later on [ 1 , 7 ].[panafrican-med-journal.com]
In our case, the distribution of the large bowel dilatation in abdominal X-ray could have raised the possibility of volvulus since it revealed a "U-shaped" loop with the apex[panafrican-med-journal.com]
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Irritable Bowel Syndrome
The bowel sounds may vary depending on whether the patient has constipation (bowel sounds may be hypoactive) or diarrhea (bowel sounds may be hyperactive).[clinicaladvisor.com]
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Acute Mesenteric Ischemia
sounds absent - hyperactive septaecaemia AF heart murmurs INVESTIGATIONS bloods: unreliable diagnostically ABG: metabolic state lactate: elevation xray: exclude perforation[lifeinthefastlane.com]
[…] of patients recover and do not progress beyond this phase Paralytic phase Pain more diffuse Bowel sounds become absent .[amboss.com]
[…] associated with MODS Venous thrombosis symptoms may been present for weeks patients may have a history of hypercoagulability EXAMINATION tenderness peritonism palpable mass bowel[lifeinthefastlane.com]