Right upper quadrant abdominal pain: Difference between revisions
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==Background== | ==Background== | ||
*This page outlines the general approach to RUQ pain | *This page outlines the general approach to RUQ pain | ||
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==Clinical Features== | ==Clinical Features== | ||
*Right upper quadrant pain | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{DDX RUQ}} | {{DDX RUQ}} | ||
==Workup== | ==Evaluation== | ||
[[File:Gallbladder (organ).png|thumb|Gallbladder anatomy (overview).]] | |||
[[File:GallbladderAnatomy-en.svg|thumb|Gallbladder anatomy]] | |||
===Workup=== | |||
*CBC | *CBC | ||
*Chem | *Chem | ||
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*?ECG | *?ECG | ||
**If may be cardiac in nature | **If may be cardiac in nature | ||
===Diagnosis=== | |||
==Management== | ==Management== | ||
Revision as of 22:37, 31 January 2024
Background
- This page outlines the general approach to RUQ pain
Classification by Abdominal pain location
| RUQ pain | Epigastric pain | LUQ pain |
| Flank pain | Diffuse abdominal pain | Flank pain |
| RLQ pain | Pelvic pain | LLQ pain |
Clinical Features
- Right upper quadrant pain
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
Evaluation
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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
Diagnosis
Management
- Treat underlying disease process
Disposition
- Disposition per underlying disease process