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74 Possible Causes for Left Lower Quadrant Pain, Suprapubic Pain

  • Urinary Tract Infection

    Presentation The presenting features of lower urinary tract infection include frequent urination or an urgent need to urinate, dysuria, suprapubic pain and turbid or foul[doi.org] pain ( ) • “Offensive” smell, turbid urine ( ) • Prior infections of the urinary tract ( ) • Changed or new discharge, vaginal irritation ( ).[dx.doi.org] The abrupt onset of irritative voiding symptoms (eg, frequency, urgency, nocturia, dysuria) and suprapubic pain are clinically diagnostic.[emedicine.medscape.com]

  • Appendicitis

    Although typically presenting as right lower-quadrant pain, in rare cases it may present as left upper-quadrant pain secondary to abnormal position due to intestinal malrotation[ncbi.nlm.nih.gov] , therefore, may be predominantly left-sided pain in the upper and/or lower quadrants, suprapubic pain, generalised abdominal pain, low back pain or rectal pain.[patient.info] Rovsing Sign: Right lower quadrant pain with left lower quadrant palpation is a sign of referred pain from appendicitis as the innervation of the intestine does not localize[sages.org]

  • Diverticular Abscess

    Patient History A 73 year-old female presented to the emergency room with a 5-day history of left lower quadrant pain, fever and leukocytosis.[veranmedical.com] An attack of diverticulitis usually presents with left lower quadrant or suprapubic abdominal pain because this is where the sigmoid colon is located.[athensherniaclinic.com] Diverticulitis will present as a 67-year-old man with a long history of constipation presents with steady left lower quadrant pain.[smartypance.com]

  • Pelvic Inflammatory Disease

    The Case of Rachel T A 24yo nulliparous female presents to the emergency department with constant left lower quadrant pain of 2 days duration.[sharinginhealth.ca] The use of NSAIDs was reported to improve tubal patency, reduce pelvic adhesions and reduce suprapubic pain but the studies were of poor quality with a high risk of bias.[ncbi.nlm.nih.gov] […] common presenting symptom Fever 38.3 Cervical or vaginal discharge Irregular vaginal bleeding Dysuria Chronic PID is associated with constant suprapubic pain, dyspareunia[sharinginhealth.ca]

  • Ectopic Pregnancy

    A healthy 29-year-old woman who has been trying to conceive presents with vaginal spotting for the past 5 days and intermittent crampy abdominal pain in her left lower quadrant[nejm.org] The patient was a 23-year-old Malaysian woman who presented with suprapubic pain and vaginal bleeding.[ncbi.nlm.nih.gov] Examination There may be some tenderness in the suprapubic region. Peritonism and signs of an acute abdomen may occur.[web.archive.org]

  • Diverticulitis of the Colon

    Left lower quadrant pain and other gastrointestinal complaints such as nausea, vomiting, change in bowel habits, a loss of appetite, and fever may occur.[symptoma.com] I had presented in the ER with severe left lower quadrant pain but no fever and normal white blood count.[coloncancersupport.colonclub.com] Clinical signs will include fever, anorexia, left lower quadrant abdominal pain and diarrhea.[wikilectures.eu]

  • Intermenstrual Pain

    Differential Diagnosis of Dysmenorrhea Suspected condition Clinical presentation Diagnostic evaluation Primary dysmenorrhea Recurrent, crampy, suprapubic pain occurring just[aafp.org] pain (usually noncyclic) associated with urinary symptoms (e.g., frequency, nocturia); pain may radiate into the groin and rectum and is usually relieved by voiding; negative[aafp.org] Positive urinary human chorionic gonadotropin pregnancy test; pelvic or transvaginal ultrasonography demonstrating extrauterine gestational sac Interstitial cystitis History of suprapubic[aafp.org]

  • Pelvic Abscess

    The patient had pyuria, suprapubic pain and leukocytosis at that time. Radiopharmaceutical: .459 mCi In-111 labeled autologous leukocytes i.v.[gamma.wustl.edu] Followup: The patient was placed on intravenous Oxacillin and shortly thereafter, defervesced with decreasing leukocytosis and resolution of his suprapubic pain.[gamma.wustl.edu]

  • Endometriosis

    A healthy 25-year-old woman presents with worsening dysmenorrhea, new-onset left lower quadrant pain, and dyspareunia.[doi.org]

  • Pseudomembranous Colitis

    A 43-year-old woman presented to hospital with a two-day history of acute left lower quadrant pain, nonbloody diarrhea and one episode of bilious emesis.[ncbi.nlm.nih.gov] The left lower quadrant of his abdomen was moderately tender on palpation, but no palpable mass was present.[journals.lww.com] A 12-year-old boy was admitted with a colicky, left-side abdominal pain for 1 day.[journals.lww.com]

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