In addition to these signs, abdominal rigidity
was present in 24 cases (18%).
On physical examination, there was palpable right lower quadrant tenderness accompanied by abdominal rigidity
and involuntary guarding.
The facility physician noted that the patient had a mild temperature elevation and abdominal rigidity
Lack of appetite, low-grade fever and abdominal rigidity
is typical, with inflammatory markers present in the blood.
Within less than 6 hours, the patient abruptly developed diffuse abdominal pain, accompanied by an axillary temperature of 38[degrees]C, mild tachycardia, hypoactive bowel sounds, and generalized abdominal rigidity
A 47 years old male patient admitted to our emergency department with right upper quadrant pain, and then progressed through abdominal rigidity
indicating acute abdomen, was subjected to laparatomy.
No guarding or abdominal rigidity
could be elicited.
Patients with peritonitis present with fever, anorexia, abdominal rigidity
, hypoactive bowel sounds, and abdominal pain.
The classic findings of right lower quadrant pain, abdominal rigidity
, and migration of pain from the periumbilical region to the right lower quadrant occur in only about 50% of patients with appendicitis.
During the ensuing 2-week period, she was treated for tremors, muscle spasms, abdominal rigidity
, apnea, pneumonia, and local infection from her leg wound.
of Presentation Cases Pain 426 (100%) Nausea/ Vomiting 389 (91.3%) Abdominal distension 360 (84.5%) Constipation 285 (67%) Fever 176 (41.3%) Shock 142 (33.3%) Septicaemia 112 (26.29%) Abdominal tenderness 376 (88.2%) Abdominal rigidity
352 (82.6%) Investigations Hyponatraemia (Na < 130 mEq/L) 173 (56%) Hypokalaemia (K < 2.7 mEq/L) 139 (45%) Serum Creatinine (< 1.7 mg/dL) 82 (26%) Blood Urea Nitrogen (> 167 mg/dL) 104 (33%) Pneumoperitoneum on chest x-ray 164 (53%) Air fluid levels on abdominal x-ray 90 (29%) Table 2.
Abdominal tenderness was seen in all 47 (100%) patients and clinical signs of peritonitis like abdominal rigidity
in all 47 (100%) patients.