Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Gnawing Abdominal Pain That Gradually Intensifies, On And Off Vomiting, Positive Direct Tenderness On All Quadrant. Why ?
26 y.o. male was working when he experienced gnawing abdominal pain which gradually increased in intensity, sometimes being on and off associated with vomiting and fever. patient is non-diabetic and non-asthmatic. no food and drug allergies . BP = 120/80 HR = 95/min RR = 26/min Temp: = 37.9 deg celcius. Distended abdomen, positive direct tenderness on all quadrants, negative rebound, ill-defined masses on all quadrants. What are your impressions and why?
Fri, 19 Oct 2012
Hi
It is rather unusual to have masses in all quadrants -
Tenderness in all quadrants? - this suggests generalised peritonitis. It will be difficult at this time to localise.
Perforated viscus is highly probable.
In certain countries, Familial Mediterranean Fever is a priority.
Whatever it may be, the approach should be immediate admission, repeated clinical assessment, blood tests, scans, second opinion. It sounds serious. It may need laparatomy at any time.
Don't delay / Take care
Good luck
It is rather unusual to have masses in all quadrants -
Tenderness in all quadrants? - this suggests generalised peritonitis. It will be difficult at this time to localise.
Perforated viscus is highly probable.
In certain countries, Familial Mediterranean Fever is a priority.
Whatever it may be, the approach should be immediate admission, repeated clinical assessment, blood tests, scans, second opinion. It sounds serious. It may need laparatomy at any time.
Don't delay / Take care
Good luck
I find this answer helpful
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Abdominal bloating
Loading Online Doctors....