Possible Causes for Right Lower Quadrant Tenderness Retrocecal Appendicitis lower quadrant, tenderness. [acuteabd.weebly.com] Rectal examination will detect tenderness in the right lower quadrant in more than half of patients. [clinicaladvisor.com] Appendicitis in a patient with a retrocecal appendix may present atypically, with less or poorly localized pain, discomfort on coughing or walking, or flank, rather than right [acuteabd.weebly.com] Appendicitis Migratory pain, nausea or vomiting, and right lower quadrant tenderness were common predictors to all rules. Methodological quality varied widely. [ncbi.nlm.nih.gov] Physical examination revealed an abdominal tenderness in the right lower quadrant without rebound tenderness or muscular tension. [ncbi.nlm.nih.gov] On physical examination, she is afebrile, with tenderness on deep palpation in the right lower quadrant, and has no peritoneal signs. [dx.doi.org] Perforated Appendix lower quadrant tenderness. [meddean.luc.edu] […] in right lower quadrant with palpation of left lower quadrant Dunphy's sign—increased pain with coughing Flank tenderness in right lower quadrant (retroperitoneal retrocecal [aafp.org] Physical examination revealed a soft, non-distended abdomen with right lower quadrant tenderness. The patient was most comfortable with her hips flexed. [meddean.luc.edu] Cecum Diverticulum Physical examination revealed spasm, tenderness, and rebound tenderness in the right lower quadrant. [jamanetwork.com] All had pain and tenderness in the right lower quadrant. [jhu.pure.elsevier.com] They are a rare cause of acute abdominal pain, clinically similar to acute appendicitis, with tenderness in the right lower quadrant, fever, and leukocytosis. [scielo.isciii.es] Typhlitis […] pain itself for diagnosis.2 Findings of fever, right lower quadrant tenderness, a Rovsing’s sign (palpation of the lower left quadrant of a person’s abdomen results in more [accesspediatrics.mhmedical.com] lower quadrant, with or without rebound tenderness. [ncbi.nlm.nih.gov] She had abdominal pain and distension, decreased bowel sounds, guarding, and right lower quadrant tenderness without rebound. [nature.com] Recurrent Appendicitis A physical examination revealed localized right lower quadrant tenderness with decreased bowel sounds. Results of all laboratory investigations were normal. [academic.oup.com] Abstract The clinical diagnosis of classic Crohn's disease (CD) of the small bowel is based on a typical history, tender right lower quadrant fullness or mass, and characteristic [ncbi.nlm.nih.gov] lower quadrant pain and tenderness that is associated with histopathologic changes consistent with chronic inflammatory changes. [cfp.ca] Mesenteric Lymphadenitis Physical examination revealed a flushed diaphoretic man, a non-distended abdomen with focal right lower quadrant tenderness. Rovsing’s was negative. [sisna.org] In older children and adults a pseudoappendicitis syndrome, with fever, abdominal pain, tenderness in the right lower quadrant of the abdomen and leukocytosis predominates [healthunit.org] The pain then "settles" into the right lower quadrant (or the left lower quadrant in patients with situs inversus totalis ), where tenderness develops. [gutenberg.us] Yersinia Enterocolitica Infection Four of the Pediatric Surgery patients presented with abdominal pain and right lower quadrant tenderness. [ncbi.nlm.nih.gov] […] of the right lower quadrant Leukocytosis Pseudoappendicitis syndrome is more common in older children and young adults. [46] Patients with Y enterocolitica infection often [emedicine.medscape.com] These manifestations are characterized by the following symptoms (although nausea, vomiting, diarrhea, and aphthous ulcers of the mouth can also occur): Fever Abdominal pain Tenderness [emedicine.medscape.com] Ilioinguinal Nerve Entrapment Physical examination revealed right lower quadrant tenderness over the site of the previous trocar. Pelvic examination was unremarkable. [contemporaryobgyn.net] Abdominal Actinomycosis On initial presentation, physical exam showed moderate right lower quadrant tenderness. [karger.com] Physical examination revealed a firm and tender mass in the right lower quadrant, without rebound tenderness. [bioline.org.br] Physical examination showed diffuse slight tenderness and a relatively fixed tender mass with ill-defined edges localized to the right lower quadrant. [ncbi.nlm.nih.gov] Cecal Adenocarcinoma We present a case of a 60-year-old female with abdominal pain for about 2 weeks, with right lower quadrant tenderness, without nauseas, vomiting, fever or chills. [sages.org] Methods:A 61 year old lady presented with one day history of right lower quadrant pain. [sages.org] Physical examination revealed an approximately 4 × 4 cm, round, non-tender, mobile mass in the right lower quadrant of the abdomen. [kjim.org] Adenocarcinoma of the Appendix During her physical examination, right lower quadrant tenderness and rebound tenderness were noted. [e-ultrasonography.org] Physical examination revealed tenderness over the right lower quadrant of the abdomen without diffuse muscle guarding. [ncbi.nlm.nih.gov] The abdomen was soft with normal bowel sounds and focal tenderness elicited on palpation of the right lower quadrant. [jgo.amegroups.com] Psoas Abscess Palpation indicated that she had an abdominal mass in the right lower quadrant without tenderness. [iss.ndl.go.jp] On admission, the patient was febrile with right lower quadrant abdominal tenderness and moderate leukocytosis. [beat-journal.com] Ultrasonography and CT revealed a 6 cm abscess in the right psoas muscle. Laparoscopic examination showed that it was irrelevant to the appendix, cecum or right ovary. [iss.ndl.go.jp] Ovarian Cyst Torsion Examination of the abdominal right lower quadrant revealed tenderness and a solid mass. [jpss.eu] Examination of the abdominal right lower quadrant revealed tenderness and a mass with dimensions of 7cm. [jpss.eu] During the operation, right ovary torsion in addition to a multilocular cystic appearance in the left ovary were encountered. [jpss.eu] Tubo-Ovarian Abscess On physical examination, the patient is febrile to 102.4 F, abdominal exam reveals right lower quadrant tenderness and labs are significant for WBC of 13,000. [emdocs.net] The patient is a 24-year-old gravida 3, para 2, aborta 1 (G3P2Ab1) who had a 1-day history of worsening right lower quadrant pain without associated fever or cervical motion [ncbi.nlm.nih.gov] On exam, you note that she is tender in bilateral lower quadrants, right greater than left. [saem.org] Cecal Volvulus Physical exam was significant for tenderness in the right lower quadrant with voluntary guarding. [westjem.com] The physical findings in patients during symptomatic episodes may include high pitched bowel sounds and right lower quadrant abdominal tenderness; however, these abnormal [pmj.bmj.com] Her abdominal exam revealed decreased bowel sounds, distention and tenderness in the right lower quadrant with voluntary guarding. [westjem.com] Appendectomy An 11-week-old girl was brought to the emergency department with a 48-hour history of abdominal pain, emesis, low-grade fever, and focal right lower quadrant tenderness. [ncbi.nlm.nih.gov] He described the point of maximal tenderness in the right lower quadrant associated with acute appendicitis.3 This point that now bears his name is located one-third the distance [laparoscopy.blogs.com] He described the point of maximal tenderness in the right lower quadrant associated with acute appendicitis. 3 This point that now bears his name is located one-third the [laparoscopy.blogs.com] Ileocecal Tuberculosis The pain, when present, is usually greatest in the right lower abdominal quadrant. [pubs.rsna.org] The systemic examination was unremarkable except for abdominal distension, and tenderness especially in right lower quadrant. [jpss.eu] The abdomen usually feels normal or distended, and tenderness is often noted in the right lower quadrant. [ots1.narod.ru] Ureterolithiasis An abdominal exam revealed right lower quadrant tenderness at McBurney’s point with no rebound or guarding and a negative Rovsing’s sign. [academic.oup.com] Appendiceal Abscess On the fourth day of admission, a palpable right lower quadrant abdominal mass with local tenderness was found. [ncbi.nlm.nih.gov] […] localized to the right lower quadrant of the abdomen. [karger.com] On admission, he had increased inflammatory markers (white blood cell count 11,500/μl, C-reactive protein 4.6 mg/dl), but examination of the abdomen revealed only tenderness [karger.com] Abdominal Visceral Abscess Patients develop right lower quadrant pain, tenderness, rebound, fever, and leukocytosis. [intranet.tdmu.edu.ua] He has tenderness in his abdomen, somewhat more marked in the right lower quadrant. He has been anorexic for the last two meals and has vomited twice. [research.ece.ncsu.edu] Perforated peptic ulcer: this usually produces upper quadrant pain but pain may be lower. [patient.info] Disorder of the Appendix Appendicitis often causes sings and symptoms such as abdominal pain in the lower right quadrant, nausea, vomiting, abdominal tenderness, fever, and loss of appetite. [medicinenet.com] Femoral Hernia Abdominal examination ended with normal findings except bilateral lower quadrant tenderness. [ncbi.nlm.nih.gov] She also had complaints of nausea, vomiting, and right lower quadrant abdominal pain. [ncbi.nlm.nih.gov] Physical examination revealed a right groin mass in the femoral region, which was painful on examination. [ncbi.nlm.nih.gov] Pelvic Abscess She now presents three days after the initial CT with nausea, vomiting, fever, and right lower quadrant tenderness. Repeat CT examination was obtained, shown below. [meddean.luc.edu] Cervical motion, uterine, and lower abdominal tenderness may also be present. [saem.org] lower quadrant pain after weight-lifting which included squats. [meddean.luc.edu] Tubal Pregnancy On physical examination, the patient is febrile to 102.4 F, abdominal exam reveals right lower quadrant tenderness and labs are significant for WBC of 13,000. [emdocs.net] Cervical motion, uterine, and lower abdominal tenderness may also be present. [saem.org] Outcome: patient found to have right TOA in the OR, right adnexa was adherent to the sigmoid colon. [emdocs.net] Irritable Bowel Syndrome Table 1 Case reports of Blastocystis infection One 11 y.o male and one 12 y.o male Both presented with right lower quadrant tenderness, anorexia, abdominal pain, nausea, vomiting [doi.org] Endometriosis […] guarding with a voluntary component in the lower right quadrant, and increased pain with coughing at the McBurney’s point, which were consistent with the signs of acute appendicitis [wjgnet.com] Physical examination upon admission Her abdominal examination revealed that the abdomen was diffusely soft, nondistended, but presented tenderness, rebound tenderness, and [wjgnet.com] Adenocarcinoma of the Colon On physical examination, the abdomen was soft with tenderness around the right lower quadrant. [hindawi.com] Intestinal Tuberculosis SIGNS Abdominal tenderness is the most frequent sign, affecting 67 per cent of patients and is usually in the right lower quadrant. [ots1.narod.ru] Tender right lower abdominal quadrant was found in 7 patients(63.6%) and right iliac fossa mass was found in 3 patients (27.3%). [medicaljb.com] Physical examination revealed mild abdominal tenderness, mostly confined to the right lower quadrant. The remainder of the examination was unremarkable. [bmcgastroenterol.biomedcentral.com] Inflammatory Bowel Disease Type 1 Thus, the patient presents with fever, fatigue, abdominal pain and tenderness (often in the right lower quadrant), and diarrhea. [symptoma.com] […] is common; fullness or a discrete mass may be palpable, typically in the right lower quadrant Perianal disease (eg, skin tags, abscesses, fistulae, fissures) is present in [emedicine.medscape.com] […] observed before the major percentile lines on standard growth curves are crossed Abdominal findings may vary from normal to those of an acute abdomen; diffuse abdominal tenderness [emedicine.medscape.com]
