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10 Possible Causes for Hyperactive Bowel Sounds, Left Upper Quadrant Pain, Tympanitic Abdomen

  • Intestinal Obstruction

    Examination revealed hyperactive bowel sounds with scant fecal matter on rectal examination.[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] Physical Exam Physical examination findings include: abdominal distension (more prevalent in distal obstructions), hyperactive bowel sounds (early), or hypoactive bowel sounds[saem.org]

  • Small Bowel Obstruction

    On the other hand, if very hyperactive bowel sounds are heard they are indicative of mechanical obstruction.[symptoma.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] 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]

  • Large Bowel Obstruction

    At first, enteric stimuli resulting from the obstruction cause an increase in propulsive activity, causing hyperactive bowel sounds.[clinicaladvisor.com] His abdomen was distended, tympanitic to percussion, and nontender. Bowel sounds were quiet, but present.[accessemergencymedicine.mhmedical.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]

  • Volvulus

    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] Figure 9 Cecal volvulus in a 74-year-old woman with abdominal pain. Radiograph shows dilated air-filled cecum (arrow) in the left upper quadrant.[pubs.rsna.org]

  • Cecal Volvulus

    As regards clinical examination, it demonstrated a distended tender abdomen with hyperactive bowel sounds. Laboratory works were within normal limits.[saudisurgj.org] Abdominal X-rays show marked distension of the large bowel from the right lower quadrant to the epigastrium or left upper quadrant.[surgicalcasereports.springeropen.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]

  • Sigmoid Volvulus

    Distention may compromise Respiratory & cardiac function Tympanitic abdomen, Abdominal distention /- palpable mass Diagnosis - Abdominal plain films usually diagnostic Inverted[quizlet.com] On physical examination, bowel sounds were hyperactive, the abdomen was distended, firm, and diffusely tender to palpation with guarding.[scitechnol.com] Figure 9 Cecal volvulus in a 74-year-old woman with abdominal pain. Radiograph shows dilated air-filled cecum (arrow) in the left upper quadrant.[pubs.rsna.org]

  • Perforated Diverticulitis

    Examination revealed a non tender mass in the left lower abdomen. Mass was more mobile in the transverse plane and tympanitic. Rectal examination was normal.[ncbi.nlm.nih.gov] bowel sounds Absent bowel sounds (perforation) Generalized abdominal pain with rebound and guarding (perforation) Urinary tract findings (colovesicular/colovaginal fistula[emedicine.medscape.com] […] physical examination, the following may be found: Localized abdominal tenderness Abdominal distention Tympanic abdomen to percussion A tender mass (abscess formation) Hypo- or hyperactive[emedicine.medscape.com]

  • Left-sided Appendicitis

    bowel sounds Absent bowel sounds (perforation) Generalized abdominal pain with rebound and guarding (perforation) Urinary tract findings (colovesicular/colovaginal fistula[emedicine.medscape.com] upper quadrant pain.[ncbi.nlm.nih.gov] With the patient adequately undressed and comfortable, systematically examine the abdomen - inspection, percussion (abdomen may be tympanitic in bowel obstruction), palpation[patient.info]

  • Abdominal Visceral Abscess

    With the patient adequately undressed and comfortable, systematically examine the abdomen - inspection, percussion (the abdomen may be tympanitic in bowel obstruction), palpation[patient.info] Abdominal examination revealed hyperactive bowel sounds and tenderness in the epigastrium & RUQ. Liver span was 14 cm. The rest of the examination was unremarkable.[bjmp.org] LEFT UPPER QUADRANT Abdominal pain differential diagnosis: Left upper quadrant pain is often related to the spleen. — Splenomegaly – can cause left upper quadrant pain or[medical-institution.com]

  • Cecum Diverticulum

    bowel sounds Absent bowel sounds (perforation) Generalized abdominal pain with rebound and guarding (perforation) Urinary tract findings (colovesicular/colovaginal fistula[emedicine.medscape.com] Left Upper Quadrant (LUQ) The left upper quadrant rests alongside the RUQ.[newhealthguide.org] With the patient adequately undressed and comfortable, systematically examine the abdomen - inspection, percussion (the abdomen may be tympanitic in bowel obstruction), palpation[patient.info]