Term
Often asymptomatic; however may present with backache or abdominal pain, perhaps with intermittent claudication in the lower limb or impotence
Abdominal palpation may reveal an expansile pulsatile mass in the midline above the umbilicus with a bruit in 50% of patients with AAA
May rupture and present with sudden onset of severe backache and hypotension [low BP and rapid pulse rate] |
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Definition
| ABDOMINAL AORTIC ANEURYSM |
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Term
| Amenorrhea followed by abdominal cramps and vaginal bleeding with clots |
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Definition
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Term
| Sudden onset of constant abdominal pain and vaginal bleeding with/without shock |
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Definition
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Term
Periumbilical pain followed by a low grade fever, malaise, anorexia and vomiting; pain later shifts within 2-12 hours to the right iliac fossa with tenderness maximum over McBurney’s point [2/3 along a line from the umbilicus to ASIS].
Rovsing’s [pain in the right iliac fossa when palpating the left iliac fossa] may be positive.
Psoas [increased pain on extension of the right hip with the patient lying on the left side and right knee is fully flexed] and Obturator [pain elicited by passive internal rotation of the flexed right hip] tests may be positive.
Blumberg’s test [rebound tenderness] may be positive if ruptured. |
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Definition
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Term
| Recurrent abdominal cramps, diarrhea, flushing of the face and neck and wheezing; tricuspid regurgitation and pulmonary stenosis |
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Definition
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Term
Weight loss, fatigue, diarrhea and steatorrhea in adults;
Failure to thrive, vomiting and diarrhea in infants
It may also present with symptoms of calcium and vitamin deficiencies” Cramps Angular stomatitis Atopic dermatitis
Rarely some patients will develop a chronic erythematous, papular, vesicular, bullous skin rash-dermatitis herpetiformis |
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Definition
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Term
Fever, nausea, vomiting, tenderness and guarding in the right upper quadrant, Murphy’s sign may be positive [stopping of inspiration before the zenith of inspiration with palpation of the right upper quadrant]; the above symptoms may be precipitated by the ingestion of a large fatty meal
There may be right infrascapular hyperesthesia-Boas sign |
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Definition
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Term
Fatigue, anemia, change in bowel habits, weight loss and eventually abdominal distension
There may be hepatomegaly when there are liver metastases
Troisier’s sign may be positive-hard mass in the left supraclavicular fossa |
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Definition
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Term
| Recurrent attacks of fever, right-sided abdominal pain and bloody diarrhea |
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Definition
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Term
Mild to moderate abdominal pain initially usually in the left iliac fossa with localized tenderness with rebound and a mass if there is an abscess formation. There may be fever, nausea, vomiting or bloody diarrhea
Blumberg’s sign may be positive if there is generalized peritonitis |
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Definition
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Term
| Amenorrhea or irregular menstrual bleeding with spotting, lower abdominal pain with an adnexal mass |
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Definition
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Term
Severe dysmenorrhea [5-7 days before the start of the period] with dyspareunia [painful sex especially with deep penetration] and backache which is worse during menstruation; may present with infertility
There may be tender nodules in the posterior vaginal fornix and the uterus may be fixed or retroverted |
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Definition
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Term
Vomiting and/or diarrhea shortly after eating the contaminated food
Symptoms with 2-4 hours: Staph. aureusSymptoms 6-8 hours after: C. botulinum
Symptoms 10-12 hours after: C. perfringens
Symptoms 12-24 hours after: Salmonella enteritides
Symptoms 1-7 days after: Campylobacter jejuni
Symptoms 1-10 days after: E. coli |
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Definition
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Term
Heartburn occurring within 1 hour after meals and upon reclining
Occasionally the patient may present with a chronic cough, sore throat, non-cardiac chest pain or nocturnal asthma |
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Definition
| GASTROESOPHAGEAL REFLUX DISEASE |
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Term
| Fever, malaise, anorexia, nausea, vomiting followed by jaundice and tender hepatomegaly |
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Definition
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Term
Unexplained weight loss
Abdominal pain
Enlarged liver
Jaundice may also be present |
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Definition
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Term
Most patients are asymptomatic
Others may present with fatigue, renal colic [stones], bone pain [bones], depression [moans], constipation or recurrent dyspepsia [abdominal groans] and polyuria |
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Definition
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Term
DSM IV TR criteria:
a. preoccupation with fears of having a serious disease based on a misinterpretation of bodily symptoms
b. preoccupation persists despite appropriate medial evaluation and reassurance
c. preoccupation causes clinically significant distress or impairment in social, occupational or other important areas of functions
d. lasting at least 6 months |
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Definition
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Term
| Colicky abdominal pain, abdominal distension with high-pitched hyperactive bowel sounds [borborygmi]; vomiting may be a late presentation |
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Definition
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Term
Rome III diagnostic criteria: intermittent abdominal pain with two of the following: pain relieved by defecation onset associated with change in frequency of stool onset associated with change of form of stool
Orthoneuro tests The Closed eye [the patient closes her eyes just before the painful abdomen is
palpated] sign may be positive |
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Definition
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Term
ABCDEF of plumbism:
Anorexia
Belly ache
Constipation or Clumsiness
Difficult behavior or Dementia
Epileptic seizures or emesis [vomiting]
Fatigue
There may be a blue [Burton’s] line on the gums due to |
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Definition
| LEAD POISONING [Plumbism] |
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Term
| Hematemesis [vomiting of blood] |
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Definition
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Term
Usually it is asymptomatic;
May present with bleeding from the rectum or severe abdominal pain and rigidity due to perforation of the diverticulum |
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Definition
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Term
Acute signs include moderate to severe diffuse abdominal pain, nausea and vomiting; there may be slight tenderness on palpation of the abdomen which is not proportionate to the severity of pain
Signs of shock [elevated pulse rate and a drop in the blood pressure], diarrhea, blood in the stool and peritonitis are late manifestations
Chronic mesenteric ischemia is characterized by weight loss and abdominal pain after every meal |
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Definition
| MESENTERIC VASCULAR OCCULSION |
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Term
| Often asymptomatic until the disease is advanced; the patient may complain of abdominal bloating and gradual enlargement of the abdomen; physical examination may reveal a solid, fixed pelvis mass and possible ascites |
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Definition
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Term
Sudden onset of fever, abdominal pain boring through to the back, epigastric tenderness, nausea and vomiting; bowel sounds may be decreased or absent;
Cullen’s sign [blue peri-umbilical tinge] or Grey Turner’s sign [blue tinge in the flanks] may be present in <5% of patients
If chronic, patients might complain of diarrhea and steatorrhea [foul smelling, floating, fatty feces] |
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Definition
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Term
All of the following diagnostic criteria must be present:
lower abdominal tenderness, cervical motion tenderness with bilateral adnexal tenderness plus any one of the following: fever vaginal discharge dysuria dysmenorrhea
may result in infertility or ectopic pregnancy |
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Definition
| PELVIC INFLAMMATORY DISEASE |
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Term
Burning epigastric pain and tenderness. The pain is greater with meals [gastric] or decreased with food and awakes patient at night [duodenal]
The disease may be associated with melena [black tarry stool due to bleeding] |
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Definition
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Term
| Acute with neurological symptoms-abdominal pains and muscle weakness Cutaneous type presents with painful blistering photosensitive rashes Erythropoietic type presents with anemia Hepatic type presents with jaundice |
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Definition
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Term
| Recurrent bloody diarrhea, left-sided abdominal pain and weight loss |
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Definition
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Term
| Dysuria, frequency, urgency [every 30-60 minutes] without nocturia |
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Definition
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Term
| Frequency of urination, nocturia, dysuria with possible tenderness of the lower abdomen |
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Definition
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Term
| Recurrent attacks dyspepsia and peptic ulcers which recur after being treated medically or surgically; patients often have diarrhea |
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Definition
| ZOLLINGER-ELLISON SYNDROME |
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