Right lower quadrant abdominal pain
Background
- This page describes the general approach to RLQ pain in adults
Clinical Features
Differential Diagnosis
RLQ Pain
- GI
- Appendicitis
- Perforated appendicitis
- Peritonitis
- Crohn's disease (terminal ileitis)
- Diverticulitis (cecal, Asian patients)
- Inguinal hernia
- Mesenteric ischemia
- Ischemic colitis
- Meckel's diverticulum
- Neutropenic enterocolitis (typhlitis)
- Appendicitis
- GU
- Other
Workup
Male
- CBC
- Chem
- UA
- ?CT abd/pelvis (r/o appy)
- Testicular exam
Female
- CBC
- Chem
- UA
- Urine pregnancy
- ?Pelvic US (r/o ovarian torsion) and/or CT abd/pelvis (r/o appy)
- Pelvic exam
Management
- Treat underlying disease process