Right upper quadrant abdominal pain: Difference between revisions
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Revision as of 16:07, 2 October 2016
Background
- This page outlines the general approach to RUQ pain
Clinical Features
Differential Diagnosis
RUQ Pain
- Gallbladder disease
- Pancreatitis
- Acute hepatitis
- Pancreatitis
- GERD
- Appendicitis (retrocecal)
- Pyogenic liver abscess
- Bowel obstruction
- Cirrhosis
- Budd-Chiari syndrome
- GU
- Other
- Hepatomegaly due to CHF
- Peptic ulcer disease with or without perforation
- Pneumonia
- Herpes zoster
- Myocardial ischemia
- Pulmonary embolism
- Abdominal aortic aneurysm
Workup
- CBC
- Chem
- LFTs
- Lipase
- Coags
- Urinalysis
- Urine pregnancy (females)
- Biliary ultrasound
- ?CXR
- Consider if at risk for perforated ulcer
- ?ECG
- If may be cardiac in nature
Management
- Treat underlying disease process
Disposition
- Disposition per underlying disease process