Original Title: Right Lower Abdominal Pain Not Only Appendicitis, These 12
Diseases Must Not Be Ignored Popular Science Doctor: Dr. Zou Changlin
Appendicitis is a common disease in surgery, ranking first in all kinds of acute
abdomen. It can occur at any age. Abdominal pain in 70% -80% of acute
appendicitis is characterized by paroxysmal pain around the umbilicus and in the
upper abdomen in the early stage. After a few hours, metastatic right lower
abdominal pain occurs. The pain is persistent. Abdominal pain varies in
different locations and different pathological types of appendicitis. However,
appendicitis is not the only disease that causes pain in the right lower
abdomen, but also the following common conditions. 1. Gastroduodenal ulcer
perforation Perforation discharge may flow along the paracolic groove to the
right lower abdomen, which may be similar to metastatic right lower abdominal
pain, much like the pain of acute appendicitis. However, the patient has a
history of peptic ulcer, usually with sudden onset and severe pain. In addition
to tenderness in the right lower abdomen, pain and tenderness in the upper
abdomen, abdominal muscle tension and disappearance of bowel sounds and other
peritoneal irritation symptoms are obvious. CT: There is no air in the
downstream of the diaphragm, and no abnormality is found in the appendix. Expand
the full text 2. Acute mesenteric lymphadenitis This disease is more common in
children, usually preceded by upper respiratory tract infection. The location of
abdominal tenderness is in the middle, the range is not fixed and wide, and it
can be changed with the body position. 3. Infectious diseases of biliary system
It is easily confused with high appendicitis, but there are obvious colic, high
fever, and even jaundice. Physical examination may be positive for Murphy's
sign, usually with a history of repeated right upper abdominal pain. 4. Colon
tumor The general history is longer, with abdominal mass, hematochezia,
custom
tailor tape, diarrhea or intractable constipation, as well as purulent and
bloody stool and mucoid stool. CT showed an irregular soft tissue mass in the
intestinal lumen, which was significantly enhanced, and there was fat space
around it. 5. Crohn's disease Lesions mainly occur at the end of the ileum,
which is a non-specific inflammation and is more common in young people aged
20-30. In the acute stage of the disease, the intestinal canal at the lesion
site is congested, edematous and exudative, which stimulates the parietal
peritoneum of the right lower abdomen,
bra
tape measure, causing abdominal pain and tenderness, similar to acute
appendicitis. The location is limited to the ileum, without the characteristics
of metastatic abdominal pain, and the abdominal signs are extensive, sometimes
with enlarged intestines palpable. Additional, the patient can accompany have
diarrhoea, defecate examination has apparent and unusual composition. 6. Ectopic
pregnancy rupture After the rupture of right ectopic pregnancy, the
intraperitoneal hemorrhage stimulates the parietal peritoneum of the right lower
abdomen, and the clinical features of acute appendicitis may occur. However,
ectopic pregnancy often has a history of menopause and early pregnancy, and
vaginal bleeding may occur before the onset. The patient has a sense of swelling
in the perineum and anus after abdominal pain, as well as internal bleeding and
hemorrhagic shock. Gynecological examination may have positive signs such as
vaginal bleeding, slightly enlarged uterus with tenderness, right adnexal
enlargement and blood in posterior fornix puncture. It can be further confirmed
by B-mode ultrasonography. 7. Rupture of follicular or corpus luteum cyst It
often occurs in unmarried young women, often two weeks after menstruation,
bespoken tape measure ,
garment
measuring tape, because of intra-abdominal bleeding, causing right lower
abdominal pain. The local signs of the disease in the right lower abdomen were
mild, and the bloody exudate could be extracted by diagnostic abdominal
puncture. 8. Ovarian cyst pedicle torsion After torsion of the right ovarian
cyst pedicle, the cyst circulatory disorder, necrosis and bloody exudation
caused inflammation of the right abdomen, similar to appendicitis. However, the
disease often has a history of pelvic mass, and the onset is sudden, paroxysmal
colic, accompanied by mild shock symptoms. During gynecological examination, a
cystic mass was palpable and tender, and abdominal B-mode ultrasound confirmed
the presence of a cystic mass in the right lower abdomen. 9. Acute salpingitis
and acute pelvic inflammatory disease Acute inflammation of the right fallopian
tube can cause signs and symptoms similar to acute appendicitis. However,
salpingitis often occurs in married women with a history of excessive
leucorrhea, and the onset of salpingitis is often before menstruation. Although
there is right lower abdominal pain, there is no typical metastasis, and the
location of abdominal tenderness is low, almost near the pubic bone.
Gynecological examination showed purulent vaginal secretions, obvious tenderness
on both sides of the uterus, and tender masses on the right adnexa. 10. Right
ureteral calculus The main symptoms were sudden severe colic in the right lower
abdomen and radiation to the perineum, no obvious tenderness in the right lower
abdomen, and obvious percussion pain in the kidney area. May be accompanied by
hematuria, secondary infection, white blood cells may increase, bladder
irritation symptoms may occur, can choose B-mode ultrasound identification. 11.
Lower right pneumonia and pleurisy Inflammatory lesions of the right lower lung
and pleura can reflexively cause right lower abdominal pain, and some can be
misdiagnosed as acute appendicitis. However, pneumonia and pleurisy often have
obvious respiratory symptoms such as cough, sputum and chest pain, and chest
signs such as changes in breath sounds and moist rales. Abdominal signs are not
obvious, and tenderness in the right lower abdomen does not exist. Chest X-ray
and CT can make a definite diagnosis. 12. Acute gastroenteritis Most of them are
caused by unclean diet, and begin to have digestive tract symptoms such as
fever, spasmodic abdominal pain and multiple diarrhea. Abdominal pain often has
no fixed location, sometimes around the umbilicus, without fixed tenderness in
the right lower abdomen and signs of peritoneal irritation. There was no
significant increase in white blood cell count, and white blood cells could be
seen in routine stool examination. [See Dr. Zou Changlin] ??? 1. Dr. Zou
Changlin specializes in Colorectal benign and malignant tumors, gastrointestinal
polyps, various hemorrhoids, anal fistula, anal fissure, perianal abscess,
pilonidal sinus, anal pruritus, anal eczema, constipation, intestinal
obstruction, appendicitis, etc. Maternal hemorrhoids, constipation and other
anal and intestinal problems. 2. The popular doctor in this article is Dr. Zou
Changlin. ? The content cannot be used as specific diagnosis and treatment
advice,
printed
tape measure, nor can it replace the face-to-face consultation of licensed
physicians. It is only for reference. 3. The above content is prohibited to be
reproduced. Pictures not marked in the article are from: 123rf. Com. CN genuine
pictures. Good doctor online respects intellectual property protection. If you
have any objection to the above content, please contact email
xinmeiti@haodf.com. Husband has n/med beriberi, teach him these 3 action! Is
coffee for weight gain or weight loss? Is washing your ass more important than
washing your face? -END-Return to Sohu to see more Responsible Editor:.
tape-measure.com
The Wall