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32 Possible Causes for Ileus, Recurrent Epigastric Pain, Right Flank Pain

  • Acute Cholecystitis

    Symptomatic nephrolithiasis Colic-type pain but location should be below right upper quadrant, more in the flank 16.[clinicaladvisor.com] There was one readmission for ileus. CONCLUSION: Severity grading of AC is not the sole determinant of early LC. Patient comorbidity also impacts clinical decision.[ncbi.nlm.nih.gov] Nothing is given orally, and nasogastric suction is instituted if vomiting or an ileus is present.[merckmanuals.com]

  • Cholelithiasis

    Charcot triad: fever, jaundice, right upper quadrant pain Reynolds pentad: fever, jaundice, right upper quadrant pain, hemodynamic instability, mental status changes; classically[unboundmedicine.com] Two of the patients presented with acute cholangitis and 2 presented with bowel obstruction due to gallstone ileus.[ncbi.nlm.nih.gov] Biliary fistulas may lead to gall stone ileus if the fistula is duodenal.[pathology-india.com]

  • Biliary Colic

    View larger version (213K) Fig. 3A — Acute cholecystitis in 67-year-old woman with Murphy sign and right upper quadrant and right flank pain.[doi.org] It may be asymptomatic or present with ongoing RUQ or epigastric pain with associated nausea and vomiting.[teachmesurgery.com] Rarely, a gallstone can become impacted in the ileocecal valve that joins the caecum and the ileum, causing gallstone ileus (mechanical ileus).Complications from delayed surgery[en.wikipedia.org]

  • Choledocholithiasis

    After treatment, not right flank pain relief, so the inventors to seek treatment.[patents.google.com] Rarely, in cases of severe inflammation, gallstones may erode through the gallbladder into adherent bowel potentially causing an obstruction termed gallstone ileus.[symcat.com] Complications of cholecystitis include gallbladder gangrene and rupture, empyema, gallstone ileus, emphysematous cholecystitis, and abscess formation.[amboss.com]

  • Abdominal Visceral Abscess

    Small stone in right ureter (arrow) causing right flank pain.[radiologyassistant.nl] Epigastric; shifts Severe, knife- Dull, constant Sharp, knife- Dull cramping; to RLQ; constant like; begins in both LQ; recurrent like (usually not LLP pain; diarrhea with[research.ece.ncsu.edu] For example: Right upper quadrant pain (cholecystitis, cholangitis, hepatic abscess). Right lower quadrant (appendicitis and peri-appendiceal abscess).[cancertherapyadvisor.com]

  • Intestinal Infarction

    Omental infarction in a 60-year-old woman with acute right flank pain.[doi.org] , dull, postprandial epigastric pain usually within the first hour after eating Can lead to a fear of eating weight loss and malabsorption Bloating, nausea, occasional diarrhea[amboss.com] During the next ten hours, abdominal distention, ileus, and gas within the intestinal wall and portal venous system developed.[ncbi.nlm.nih.gov]

  • Volvulus

    (RUQ), right rib pain, right flank pain, right shoulder pain Clinical (history & physical exam) Imaging: FAST examination, CT of abdomen and pelvis Diagnostic peritoneal[en.wikipedia.org] Case presentation A 44-year-old male presented to the emergency with the chief complaints of recurrent postprandial epigastric pain for three days.[ncbi.nlm.nih.gov] […] and intestinal obstruction without hernia K56.0 Paralytic ileus K56.1 Intussusception K56.2 Volvulus K56.3 Gallstone ileus K56.4 Other impaction of intestine K56.49 Other[icd10data.com]

  • Decreased Bowel Sounds

    Appendix in the right paracolic gutter : Location of the inflamed appendix in the right paracolic gutter typically results in flank pain mimicking acute pyelonephritis or[meddean.luc.edu] Chronic Pancreatitis · Mild to severe recurrent epigastric pain, usually after years of alcohol abuse, however also may be due to gallbladder obstruction · Often times these[my.ilstu.edu] One must ascultate for a mininum of five minutes before declaring an absence of bowel sounds. [1] Differential Diagnosis Common Causes Intestinal obstruction Adynamic ileus[wikidoc.org]

  • Cholecystitis

    Symptomatic nephrolithiasis Colic-type pain but location should be below right upper quadrant, more in the flank 16.[oncologynurseadvisor.com] […] lymph nodes Recurrence of gallstones within the bile ducts (even after cholecystectomy ) Chronic gallbladder inflammation increases the risk of gallbladder carcinoma ![amboss.com] Nothing is given orally, and nasogastric suction is instituted if vomiting or an ileus is present.[merckmanuals.com]

  • Intraperitoneal Abscess in the Right Lower Quadrant

    RYAN BARNES (MUSC EMERGENCY MEDICINE) CASE #45….64yo M with right flank pain but LOOKS SICK. CASE COURTESY OF DR.[emergencyultrasoundteaching.com] Chronic Pancreatitis · Mild to severe recurrent epigastric pain, usually after years of alcohol abuse, however also may be due to gallbladder obstruction · Often times these[my.ilstu.edu] […] return to top Signs and Symptoms history physical exam History Presenting symptoms are diverse and include: abdominal pain, often poorly localized nausea, vomiting paralytic ileus[sharinginhealth.ca]

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