IBS
Diarrhea
Constipation
Flatulence
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Abdominal Pain: Cramping
,name of abdominal region between the costal margins
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epigastrium
combines findings to assist evaluation in patients with RLQ pain
Migration to right iliac fossa, Anorexia, Nausea and vomiting, Tenderness, RLQ,
Rebound Tenderness, Elevation of temperature, Leukocytosis, Left Shift
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Alvarado score (MANTRELS score)
occurs rarely. Heard in periumbilical region. Originates from inferior vena cava.
Medium pitch, continuous sound, pressure on bell may obliterate it. May have
palpable thrill. Occurs with portal hypertension and cirrhotic liver.
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Venous Hum
Inspection: Uniformly rounded. umbilicus sunken
Auscultation: Normal bowel sound
Percussion: Tymphany. scattered dullness over adipose tissue
, Palpation: Normal. May be hard to feel through thick abdominal wall
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Obesity
Enlarged with hydronephrosis, cyst, or neoplasm. May be difficult to distinguish an
enlarged kidney from an enlarged spleen because they have a similar shape. Both
extend forward and down. However, the spleen may have a sharp edge, whereas the
kidney never does. The spleen retains the splenic notch, whereas the kidney has no
palpable notch. Percussion over the spleen is dull, whereas over the kidney it is
tympanitic because of the overriding bowel.
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Enlarged Kidney
defect or sac formed by dilation in artery wall due to atherosclerosis, trauma, or
congenital defect
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aneursym
diffuse, generalized abdominal pain with nausea, diarrhea
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