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12 Possible Causes for Hyperactive Bowel Sounds, Hyponatremia, Tympanitic Abdomen

  • Small Bowel Obstruction

    Her physical exam reveals hyperactive bowel sounds, diffuse abdominal tenderness and distention. An abdominal x-ray is shown below.[medbullets.com] However, hyponatremia ( 134 mmol/L) and CT scan findings of wall thickening or a suspected closed loop were independently associated with bowel ischemia.[ncbi.nlm.nih.gov] Abdominal palpation may reveal a distended, tympanitic abdomen; however, this finding may not be present in patients with early or proximal obstruction.[aafp.org]

  • Sigmoid Volvulus

    Podcast Ep 30: Status Epilepticus, Isoniazid Toxicity, Hyponatremia & More Published: August 30, 2017 Author: Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.[roshreview.com] Distention may compromise Respiratory & cardiac function Tympanitic abdomen, Abdominal distention /- palpable mass Diagnosis - Abdominal plain films usually diagnostic Inverted[quizlet.com] bowel sounds High rate of mortality, particularly in older patients ( Eur Rev Med Pharmacol Sci 2013;17:127 ) Radiology description Dilated loops of intestine Volvulus may[pathologyoutlines.com]

  • Volvulus

    Serum electrolyte levels may be altered with bowel obstruction; for example, hyponatremia, hyperkalemia, or hypochloremia may be present.[quizlet.com] abdomen Abdominal distention /- palpable mass Diagnosis Abdominal plain films usually diagnostic Inverted U-shaped appearance of distended sigmoid loop Largest and most dilated[learningradiology.com] bowel sounds High rate of mortality, particularly in older patients ( Eur Rev Med Pharmacol Sci 2013;17:127 ) Radiology description Dilated loops of intestine Volvulus may[pathologyoutlines.com]

  • Cecal Volvulus

    As regards clinical examination, it demonstrated a distended tender abdomen with hyperactive bowel sounds. Laboratory works were within normal limits.[saudisurgj.org] Serum electrolyte levels may be altered with bowel obstruction; for example, hyponatremia, hyperkalemia, or hypochloremia may be present.[quizlet.com] Abdomen Rebound Tenderness: in cases with peritonitis/bowel ischemia Nausea/Vomiting (see Nausea and Vomiting , [[Nausea and Vomiting]]) Obstipation : failure to pass stools[mdnxs.com]

  • Intestinal Obstruction

    Examination revealed hyperactive bowel sounds with scant fecal matter on rectal examination.[ncbi.nlm.nih.gov] The laboratory data should evaluate hypovolemia, initial renal failure, hemoconcentration, metabolic abnormalities (hyponatremia, hypokalemia), and leucocytosis.[intechopen.com] Abdominal palpation may reveal a distended, tympanitic abdomen; however, this finding may not be present in patients with early or proximal obstruction.[aafp.org]

  • Colonic Perforation

    On examination, she had a temperature of 100.4 F, a blood pressure of 110/78 mm Hg, and a heart rate of 105/min, and abdominal exam revealed hyperactive bowel sounds, diffuse[karger.com] Initial labs, especially the basic metabolic panel, showed hypokalemia (3.3 meq/L), hyponatremia (128 meq/L), and mild metabolic alkalosis (bicarbonate 28 meq/L).[cureus.com] The abdomen is highly tympanitic to percussion, with high-pitched bowel sounds. An abdominal mass might be present but the distension may prevent it being palpable.[surgwiki.com]

  • Recurrent Small Bowel Obstruction

    Signs Vital Sign s: Dehydration vs SIRS Criteria ( Sepsis ) Sinus Tachycardia Hypotension Bowel sounds Initial: High pitched, hyperactive bowel sounds Later: Hypoactive or[fpnotebook.com] […] infection, Myocardia infarction • Endocrine: hypothyroidism, diabetes • Spinal and pelvic fractures • Retro-peritoneal haematoma • Metabolic abnormalities: • Hypokalaemia • Hyponatremia[slideshare.net] Abdominal palpation may reveal a distended, tympanitic abdomen; however, this finding may not be present in patients with early or proximal obstruction.[aafp.org]

  • Ileus

    Aetiology Adynamic ileus can be caused by a number of conditions: drugs: e.g. opioids metabolic: e.g. hyponatremia sepsis: especially gram-negative bacteria abdominal trauma[radiopaedia.org] Radiologically, the abdomen shows gasfilled loops of intestine with multiple fluid levels 10.[slideshare.net] Continued absence of bowel sounds suggests paralytic ileus whereas hyperactive bowel sounds may indicate a mechanical ileus ( Ruis-Tovar etal., 2010 ).[nursingcenter.com]

  • Paralytic Ileus

    Hyponatremia 3. Hypomagnesemia 4. Hypermagensemia • Reflex ileus.[slideshare.net] Abdominal palpation may reveal a distended, tympanitic abdomen; however, this finding may not be present in patients with early or proximal obstruction.[aafp.org] Continued absence of bowel sounds suggests paralytic ileus whereas hyperactive bowel sounds may indicate a mechanical ileus ( Ruis-Tovar etal., 2010 ).[nursingcenter.com]

  • Cecal Disease

    As regards clinical examination, it demonstrated a distended tender abdomen with hyperactive bowel sounds. Laboratory works were within normal limits.[saudisurgj.org] Low sodium ( hyponatremia ) and low potassium ( hypokalemia ) levels may occur and cause symptoms far removed from the initial colitis signs and symptoms.[emedicinehealth.com] During the abdominal examination, a palpable, firm, and tympanitic mass was identified in the mid-portion of the upper abdomen, and diffuse tenderness without peritoneal irritation[pmj.bmj.com]

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