Epigastric abdominal pain: Difference between revisions
| Line 22: | Line 22: | ||
==Management== | ==Management== | ||
*Treat underlying disease process | *Treat underlying disease process | ||
*Consider GI cocktail | |||
==Disposition== | ==Disposition== | ||
Revision as of 04:50, 27 October 2014
Background
- This page outlines the general approach to RUQ pain
Clinical Features
Differential Diagnosis
Epigastric Pain
- Gastroesophageal reflux disease (GERD)
- Peptic ulcer disease with or without perforation
- Gastritis
- Pancreatitis
- Gallbladder disease
- Myocardial Ischemia
- Splenic Infarctionenlargement/rupture/aneurysm
- Pericarditis/Myocarditis
- Aortic dissection
- Hepatitis
- Pyelonephritis
- Pneumonia
- Pyogenic liver abscess
- Fitz-Hugh-Curtis Syndrome
- Hepatomegaly due to CHF
- Bowel obstruction
- SMA syndrome
- Pulmonary embolism
- Bezoar
- Ingested foreign body
Workup
- CBC
- Chem
- LFTs
- Lipase
- Coags
- UA
- Urine pregnancy (females)
- ?ECG (if >50 or at risk for cardiac disease)
- ?RUQ US
- ?CXR
- Consider if at risk for perforated ulcer
Management
- Treat underlying disease process
- Consider GI cocktail
Disposition
- Disposition per underlying disease process