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Periumbilical pain, migrates to RLQ Clinical (history and physical exam) Abdominal CT Patient made NPO (nothing by mouth) IV fluids as needed General surgery consultation, possible appendectomy. Antibiotics Pain control Cholecystitis [24] Abdominal pain (RUQ, radiates epigastric), nausea, vomiting, fever, Murphy's sign
In anatomy, the epigastrium (or epigastric region) is the upper central region of the abdomen. It is located between the costal margins and the subcostal plane . Pain may be referred to the epigastrium from damage to structures derived from the foregut .
Epigastric pain: This pain is experienced by 22.7% of patients, [2] in the upper middle of the abdomen, just below the ribs. [3] Periumbilical pain: This type of pain, reported in 4.8% of cases, [2] is centered around the navel or belly button. [3] Back pain: Also reported in 4.8% of cases, [2] this pain can range from a dull ache to a sharp ...
Pain medications (such as morphine) do not appear to affect the accuracy of the clinical diagnosis of appendicitis and therefore should be given early in the patient's care. [88] Historically there were concerns among some general surgeons that analgesics would affect the clinical exam in children, and some recommended that they not be given ...
An appendix trapped in an inguinal hernia can become inflamed, infected, or perforated. Although incarcerated, an appendix may appear to be completely healthy. [1]Common complaints include epigastric or periumbilical pain with regional tenderness in the right lower quadrant, as well as an inguinal or inguino-scrotal tender irreducible mass.
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 ...
The dominion of right-sided abdominal pain in omental infarction has been attributed to right segmental infarction as a result of the tenuous blood vessels in this part of the omentum as well as its longer size and higher mobility in comparison to the left side which subjects it to torsion. Obesity is a known risk factor for omental infarction.
Stomach pain is a common symptom of functional dyspepsia. Symptoms: Early satiety, heartburn, nausea, postprandial fullness, vomiting, and/or epigastric pain. [1] Complications: Symptoms of anxiety, depression, and somatization. [2] Types: Postprandial distress syndrome and epigastric pain syndrome. [1] Diagnostic method: Rome IV criteria. [1 ...