Surgery Book

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Right Upper Quadrant Abdominal Pain

Aka: Right Upper Quadrant Abdominal Pain, RUQ Abdominal Pain, RUQ Pain
  1. See Also
    1. Acute Pelvic Pain Causes
  2. Causes: Gastrointestinal
    1. Gall Bladder or Billiary Tract Disease
    2. Hepatitis
    3. Hepatic Abscess
    4. Hepatomegaly due to Congestive Heart Failure
    5. Peptic Ulcer
    6. Pancreatitis
    7. Retrocecal Appendicitis
  3. Causes: Cardiopulmonary
    1. Myocardial Ischemia
    2. Pericarditis
    3. Pneumonia
    4. Empyema
  4. Causes: Miscellaneous
    1. Renal pain
    2. Herpes Zoster
  5. Evaluation
    1. Colicky Abdominal Pain (e.g. Biliary Colic, Nephrolithiasis)
      1. Urinalysis
      2. Liver Function Tests
      3. Right Upper Quadrant Abdominal Ultrasound
    2. Urinary symptoms (e.g. Urinary Tract Infection, Nephrolithiasis)
      1. Urinalysis
      2. Consider Abdominal CT without contrast (stone protocol)
    3. Respiratory symptoms (e.g. Pneumonia, Pulmonary Embolism)
      1. Chest XRay
      2. Consider helical chest CT
  6. Imaging
    1. Right Upper Quadrant Abdominal Ultrasound (preferred)
    2. Consider CT Abdomen and Pelvis (if non-diagnostic RUQ Ultrasound)
      1. Differential diagnosis includes high riding appendix adjacent to the liver

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