DR JABIR KHAN

Understanding General Body Aches — Causes, Remedies & When to See a Doctor Understanding General Body Aches — Common Causes, Remedies & When to See a Doctor Almost everyone experiences general body aches at some point — after a long day, during stress, or when fighting off an infection. But when the pain becomes frequent or lasts for days, it can affect sleep, mood, and energy. Understanding why your body hurts is the first step to feeling better. ⚡ Common Causes of General Body Aches Body aches are not a disease by themselves — they’re a symptom of many different conditions. Here are the most common causes: 1. Viral or Bacterial Infections Flu, common cold, dengue, and other infections often cause widespread muscle and joint pain. Why it happens: Your immune system releases chemicals to fight infection, leading to inflammation and soreness. 2. Fatigue and Sleep Deprivation Not getting enough rest means you...

Acute Cholecystitis — Abdominal Examination Abdominal Examination — Acute Cholecystitis General Inspection Patient appears uncomfortable and slightly febrile. Breathing is shallow due to right upper quadrant (RUQ) pain. May prefer lying still, avoiding deep breaths or movement. Mild tachycardia and low-grade fever may be noted. No jaundice unless choledocholithiasis present. Inspection of the Abdomen Abdomen moves minimally with respiration. Localized fullness or distension in RUQ may be visible. No scars unless previous biliary surgery. Skin normal; no dilated veins or visible pulsations. Palpation Tenderness localized to RUQ and epigastrium. Murphy’s sign positive : pain and inspiratory arrest on deep palpation of gallbladder area. Guarding may be localized to RUQ. No palpable mass unless gallbladder is distended (Courvoisier’s sign in malignancy). No hepatomegaly or splenomegaly usually. Percussion Tend...

Acute Pancreatitis — Abdominal Examination Abdominal Examination — Acute Pancreatitis General Inspection Patient appears acutely ill, restless, often sitting up and leaning forward for pain relief. Facial distress, mild tachycardia and tachypnea may be evident. Skin may be flushed; in severe cases, pallor or mild jaundice noted. Grey Turner’s or Cullen’s sign (bluish discoloration of flanks or umbilicus) may appear in severe necrotizing pancreatitis. Inspection of the Abdomen Upper abdominal fullness or distension may be present. No visible peristalsis or pulsations. Movements with respiration may be reduced due to guarding. Palpation Light palpation reveals marked tenderness in epigastrium and left hypochondrium. Guarding and mild rigidity may be present. No palpable organomegaly initially, but pancreatic pseudocyst may present later as a palpable mass. Murphy’s sign negative (helps differentiate from cholecystitis). ...

Abdominal Examination – Acute Appendicitis AP Acute Appendicitis — Abdominal Examination Focused findings highlighting localized peritonism and classical appendicitis signs. RLQ tenderness McBurney’s point Rovsing’s sign General Inspection Patient appears uncomfortable and mildly distressed with guarded movements. Mild tachycardia may be present. Skin is warm, with no jaundice or pallor. Inspection of the Abdomen Abdomen may appear near-normal in contour but with localized guarding or antalgic posture. No visible surgical scars. Focal fullness or distension may be seen in the right lower quadrant (RLQ). Palpation Light palpation Marked focal tenderness in the RLQ, maximal at McBurney’s point. Deep palpation Localized rigidity and rebound tenderness present. Guarding pa...

Abdominal Examination – Peritonitis PT Peritonitis — Abdominal Examination Focused clinical findings highlighting diffuse peritoneal irritation, localization, and red flags for urgent management. Acute abdomen Guarding & rigidity Surgical emergency Inspection Patient often appears unwell and prefers to lie still. Guarding of the abdomen may be obvious with shallow respiration. Look for abdominal distension, surgical scars, external signs of peritoneal inflammation (erythema), and systemic signs such as fever, diaphoresis or pallor. Palpation Examine gently, starting away from the area of maximal pain. Widespread involuntary guarding and board-like rigidity suggest generalized peritonitis. Localized tenderness with rebound indicates focal peritoneal irritation. Note any palpable masses, localized peritoneal si...

Abdominal Examination – Intestinal Obstruction IO Intestinal Obstruction — Abdominal Examination Structured clinical findings emphasizing small vs large bowel features, signs of strangulation, and examination tips for surgical assessment. Distension & vomiting High-pitched bowel sounds Surgical emergency Inspection Patient may appear dehydrated and uncomfortable, with abdominal distension. Note any scars suggesting previous surgery (adhesions), visible peristalsis (more common in proximal obstruction), hernias, abdominal wall defects, or stoma. Observe respiratory rate and signs of systemic toxicity which may indicate strangulation. Palpation Palpation should be gentle. Assess for generalized tenderness, localized peritonism (guarding, rigidity) which suggests strangulation or perforation. Palpate for masses ...