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Anatomic relationship of the 12th rib and lumbar vertebrae with lines representing the CVA overdrawn. Costovertebral angle ( CVA) tenderness is pain that results from touching the region inside of the costovertebral angle. [ 1] The CVA is formed by the 12th rib and the spine. [ 1] Assessing for CVA tenderness is part of the abdominal exam, and ...
Neurogenic bowel dysfunction (NBD) is the inability to control defecation due to a deterioration of or injury to the nervous system, resulting in faecal incontinence or constipation. [1] It is common in people with spinal cord injury (SCI), multiple sclerosis (MS) or spina bifida. [2]
Frequency. 1 in 500,000 a year. Cauda equina syndrome ( CES) is a condition that occurs when the bundle of nerves below the end of the spinal cord known as the cauda equina is damaged. [ 2] Signs and symptoms include low back pain, pain that radiates down the leg, numbness around the anus, and loss of bowel or bladder control. [ 1]
Back pain can be an “associated” symptom, he says, noting that it’s more common in people who are constipated. A lot of this has to do with the nerve density in your digestive system, Dr ...
The remaining 50% are due to non-biliary causes. This is because upper abdominal pain and gallstones are both common but are not always related. Non-biliary causes of PCS may be caused by a functional gastrointestinal disorder, such as functional dyspepsia. [6] Chronic diarrhea in postcholecystectomy syndrome is a type of bile acid diarrhea ...
Blumberg's sign (also referred to as rebound tenderness or Shchetkin–Blumberg's sign) is a clinical sign in which there is pain upon removal of pressure rather than application of pressure to the abdomen. (The latter is referred to simply as abdominal tenderness .) It is indicative of peritonitis. It was named after German surgeon Jacob ...
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