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46 Possible Causes for Patient Appears Acutely Ill, Periumbilical Pain

  • Appendicitis

    Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[step2.medbullets.com] Symptoms and Signs The classic acute appendicitis symptoms are Epigastric or periumbilical pain followed by brief nausea, vomiting, and anorexia After a few hours, the pain[merck.com] The typical symptoms include periumbilical pain, vomiting and nausea followed by fever and right lower quadrant abdominal pain.[symptoma.com]

  • Acute Pancreatitis

    […] may appear ill with MODS, or may initially appear well walled off necrosis acute necrotic collection that has persisted 4 weeks and developed a well-defined wall sterile[lifeinthefastlane.com] […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[aafp.org] […] pancreatic fluid collection with areas of necrosis occurring within 4 weeks and lacking a defined wall may be isolated to pancreas or be peripancreatic sterile or infected patients[lifeinthefastlane.com]

  • Embolic Mesenteric Infarction

    Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com] In the evening on the same day, he complained of acute and persistent periumbilical pain without abdominal distension.[e-jnc.org] Pain is the most consistent symptom, which begins with cramping, periumbilical pain due to small bowel ischemia, which evolves into tenderness to palpation with transmural[epmonthly.com]

  • Mesenteric Infarction

    Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com] Clinical features Periumbilical pain that is disproportionate to physical findings Nausea and vomiting Diarrhea (bloody in later stages) Gangrenous bowel: rectal bleeding[amboss.com] Pain is the most consistent symptom, which begins with cramping, periumbilical pain due to small bowel ischemia, which evolves into tenderness to palpation with transmural[epmonthly.com]

  • Mesenteric Vein Thrombosis

    A 76-year-old Caucasian man presented with acute onset of intense periumbilical abdominal pain associated with nonbloody diarrhea.[accesssurgery.mhmedical.com] […] and lower abdominal pain for 1 week.[mdedge.com] […] patients with MVT. 1 Peritoneal signs and bloody stools portend poor outcomes, as they often occur with disease progression. 4 Case A 26-year-old man presented to the ED with periumbilical[mdedge.com]

  • Viral Gastroenteritis

    BACKGROUND: Nosocomial norovirus infections and their control measures disrupt patient care, increase staff workload and raise healthcare costs. OBJECTIVE: To determine the impact on outbreaks of nosocomial viral gastroenteritis, staff and patients affected, and bed closures of a multidimensional quality[…][ncbi.nlm.nih.gov]

  • Acute Hepatic Porphyria

    Summary Epidemiology To date, fewer than 10 cases have been described in the literature. Clinical description The disease occurs in children. Patients suffer acute neuro-visceral attacks, which persist for several weeks and manifest as intense abdominal pain, and neurological and psychological symptoms. Etiology[…][orpha.net]

  • Acute Intermittent Porphyria

    Rhodococcus equi is a gram-positive coccobacillus responsible for severe infections in patients with weakened immune systems. R equi generally causes pnumonia that may evolve into fatal systemic infection if left untreated. Here, we present a case of a 67-year-old woman affected by acute intermittent porphyria[…][ncbi.nlm.nih.gov]

  • Hemoperitoneum

    2015 ICD-9-CM Diagnosis Code 568.81 Hemoperitoneum (nontraumatic) 2015 Billable Thru Sept 30/2015 Non-Billable On/After Oct 1/2015 ICD-9-CM 568.81 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 568.81 should only be used for claims with a date of service on or[…][icd9data.com]

  • Retrocecal Appendicitis

    RESULTS: Patients presented with right lower abdominal pain (49%, 16/33), right flank pain (24%, 8/33), right upper abdominal pain (18%, 6/33), and periumbilical pain (15%[ncbi.nlm.nih.gov] Thirty-six percent of the patients had the classic appendicitis scenario of periumbilical pain localizing to the right lower quadrant, accompanied by anorexia, nausea and[ncbi.nlm.nih.gov] It typically presents with periumbilical pain, which migrates to the right lower quadrant ( RLQ ), associated with fever, vomiting, anorexia, and malaise.[amboss.com]

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