Causes of left upper quadrant abdominal pain: Difference between revisions
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| [[File:Siren.gif|30px|link=Abdominal pain resident survival guide]]|| <br> || <br> | | [[File:Siren.gif|30px|link=Abdominal pain resident survival guide]]|| <br> || <br> | ||
| [[Abdominal pain resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']] | | [[Abdominal pain resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']] | ||
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| [[File:Critical_Pathways.gif|88px|link=Abdominal pain critical pathways]]|| <br> || <br> | |||
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{{Abdominal pain}} | {{Abdominal pain}} | ||
{{CMG}}; {{M.P}} | |||
{{CMG}}; {{AE}} {{M.P}} | |||
==Overview== | ==Overview== | ||
Left upper quadrant | Left upper quadrant pain can originate from the chest, diaphragm, abdomen, peritoneum or general medical conditions. Abdominal causes are generally due to the pathology involving [[spleen]], [[stomach]] (also presents as epigastric and back pain), [[pancreas]] (usually present with epigastric and back pain), splenic flexure of the left [[colon]] (may have low abdominal pain or left flank pain) and left [[kidney]] (flank pain). Pain originating from intra-abdominal organ pathology may not localize accurately and diaphragmatic pain can be referred to the shoulder tip. | ||
==Causes | ==Causes== | ||
===Life Threatening Causes=== | ===Life Threatening Causes=== | ||
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | |||
*[[Blunt trauma|Abdominal compartment syndrome]] | |||
*[[Acute pancreatitis]] | |||
*[[heavy metal|Heavy metal toxicity]] | |||
*[[Eclampsia]] | |||
*[[Hepatorenal syndrome]] | |||
*[[Infective endocarditis]] | |||
*[[Ischemic colitis]] | |||
*[[Ketoacidosis]] | |||
*[[Malignant hypertension]] | |||
*[[acute mesenteric ischemia|Mesenteric artery ischemia]] | |||
*[[gastric ulcer|Perforated gastric ulcer]] | |||
*[[Peritonitis]] | |||
*[[ERCP|Post-ERCP perforation]] | |||
*[[Pulmonary embolism]] | |||
*[[Pulmonary infarction]] | |||
*[[Kidney abscess|Renal abscess]] | |||
*[[abdominal abscess|Splenic abscess]] | |||
*[[embolization|Splenic artery embolization]] | |||
*[[Splenic infarction]] | |||
*[[rupture spleen|Traumatic splenic rupture]] | |||
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font> | |||
===Common Causes=== | ===Common Causes=== | ||
*[[pneumonia|Basal pneumonia]] | *[[pneumonia|Basal pneumonia]] | ||
*[[Empyema]] | *[[Empyema]] | ||
*[[Gastritis]] | *[[Gastritis]] | ||
*[[Peptic ulcer|Gastroduodenal ulcer]] | *[[Peptic ulcer|Gastroduodenal ulcer]] | ||
*[[ | *[[Acute pancreatitis]] | ||
*[[Pericarditis]] | *[[Pericarditis]] | ||
*[[Pleuritis]] | *[[Pleuritis]] | ||
*[[Pulmonary infarction]] | *[[Pulmonary infarction]] | ||
*[[Pyelonephritis]] | *[[Pyelonephritis]] | ||
*[[Renal colic | *[[Renal colic]] | ||
*[[Splenic infarction]] | *[[Splenic infarction]] | ||
*[[Splenic]] | *[[rupture spleen|Splenic rupture]] | ||
*[[Splenic tumor]] | |||
*[[Splenomegaly]] | *[[Splenomegaly]] | ||
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font> | |||
===Causes by Organ System=== | ===Causes by Organ System=== | ||
{|style="width:80%; height:100px" border="1" | {|style="width:80%; height:100px" border="1" | ||
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | ||
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Abdominal aortic aneurysm rupture]], [[infective endocarditis]], [[primary lymphedema|intestinal lymphangiectasia]], [[ischemic colitis]], [[malignant hypertension]], [[acute mesenteric ischemia|mesenteric artery | |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Abdominal aortic aneurysm rupture]], [[infective endocarditis]], [[primary lymphedema|intestinal lymphangiectasia]], [[ischemic colitis]], [[malignant hypertension]], [[acute mesenteric ischemia|mesenteric artery ischemia]], [[AV fistula|pulmonary arteriovenous malformations]], [[pulmonary embolism]], [[pulmonary infarction]], [[pericarditis|purulent pericarditis]], [[rheumatoid vasculitis]], [[splenic artery aneurysm]], [[embolization|splenic artery embolization]], [[splenic infarction]], [[systemic vasculitis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Chemical/Poisoning''' | | '''Chemical/Poisoning''' | ||
|bgcolor="Beige"| [[seafood|Algal toxin in shellfish]], [[aluminum|aluminum toxicity]], [[arsenic poisoning]], [[cadmium|cadmium toxicity]], [[chromium poisoning]], [[copper|copper poisoning]], [[ecstasy overdose]], [[ethylene glycol poisoning]], [[food poisoning]], [[gold | |bgcolor="Beige"| [[seafood|Algal toxin in shellfish]], [[aluminum|aluminum toxicity]], [[arsenic poisoning]], [[cadmium|cadmium toxicity]], [[chromium poisoning]], [[copper|copper poisoning]], [[ecstasy overdose]], [[ethylene glycol poisoning]], [[food poisoning]], [[gold]], [[iron poisoning]], [[lead poisoning]], [[mercury poisoning]], [[methanol]], [[organophosphate poisoning]], [[saw palmetto]], [[silver|silver poisoning]], [[toxic mushrooms]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Dermatologic''' | | '''Dermatologic''' | ||
|bgcolor="Beige"| [[Scarlet fever]], | |bgcolor="Beige"| [[Scarlet fever]], [[scleroderma]], [[shingles]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"| [[Aspirin]], [[ | |bgcolor="Beige"| [[Aspirin]], [[colchicine|colchicine toxicity]], [[diclofenac]], [[didanosine]], [[fentanyl toxicity]], [[hydroxyurea]], [[ibuprofen]], [[indomethacin]], [[malignant hyperthermia]], [[NSAID|nonsteroidal anti-inflammatory drugs (NSAIDs)]], [[propylthiouracil]], [[Reye's syndrome]], [[statins]], [[steroid abuse]], [[thrombolytic therapy]], [[tramadol toxicity]], [[hypervitaminosis D|vitamin D toxicity]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Endocrine''' | | '''Endocrine''' | ||
|bgcolor="Beige"| [[ | |bgcolor="Beige"| [[Addisonian crisis]], [[adrenal hemorrhage]], [[Addison's disease|adrenal tuberculosis]], [[carcinoid]], [[diabetic ketoacidosis]], [[multiple endocrine neoplasia type 1]], [[Zollinger-Ellison syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Gastroenterologic''' | | '''Gastroenterologic''' | ||
|bgcolor="Beige"| [[blunt trauma|Abdominal compartment syndrome]], [[ | |bgcolor="Beige"| [[blunt trauma|Abdominal compartment syndrome]], [[diverticulitis|acute diverticulitis]], [[acute pancreatitis]], [[rupture spleen|atraumatic splenic rupture]], [[autoimmune pancreatitis]], [[Bannayan-Zonana syndrome]], [[bile|bile reflux disease]], [[bulimia nervosa]], [[celiac disease]], [[chronic constipation]], [[collagenous colitis]], [[colon cancer]], [[lymphoma|colonic lymphoma]], [[splenomegaly|congestive splenomegaly]], [[Crohn's disease]], [[splenic cyst|cystic metastasis to the spleen]], [[eosinophilic gastroenteritis]], [[familial adenomatous polyposis]], [[Felty's syndrome]], [[gastric carcinoma]], [[gastrinoma]], [[gastritis]], [[gastroenteritis]], [[Gaucher disease]], [[hepatorenal syndrome]], [[hiatus hernia]], [[intestinal pseudo-obstruction]], [[intussusception]], [[irritable bowel syndrome]], [[ischemic colitis]], [[mesothelioma|malignant peritoneal mesothelioma]], [[milk-alkali syndrome]], [[Ménétrier's disease]], [[pancreatic cancer|pancreatic cystic neoplasms]], [[pancreatic cancer|pancreatic tail cancer]], [[peptic ulcer disease]], [[gastric ulcer|perforated gastric ulcer]], [[peritonitis]], [[pernicious anemia]], [[polycystic kidney disease|polycystic kidney disease with splenic cysts]], [[porphyria]], [[splenic cyst|pseudocysts cystic splenosis]], [[scarlet fever]], [[scleroderma]], [[somatostatinoma]], [[abdominal abscess|splenic abscess]], [[splenic infarction]], [[blunt splenic trauma|splenic laceration and trauma]], [[lymphoma|splenic lymphoma]], [[splenosis]], [[stress ulcer]], [[abdominal abscess|subphrenic abscess]], [[rupture spleen|traumatic splenic rupture]], [[typhoid fever]], [[ulcerative colitis]], [[hamartoma|visceral hamartoma]], [[hemangioma|visceral hemangioma]], [[volvulus]], [[Wandering spleen|wandering spleen syndrome]], [[Zollinger-Ellison syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Genetic''' | | '''Genetic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[thalassemia|Beta thalassemia major]], [[bowel obstruction|colon atresia]], [[cystic fibrosis]], [[Dent's disease]], [[familial adenomatous polyposis]], [[Gaucher disease]], [[angioedema|hereditary angio-oedema]], [[Meckel syndrome]], [[Polycystic kidney disease|polycystic kidney disease with splenic cysts]], [[porphyria]], [[primary hyperoxaluria]], [[sickle cell anemia]], [[Von Hippel-Lindau disease]], [[WAGR syndrome]], [[Williams syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Hematologic''' | | '''Hematologic''' | ||
|bgcolor="Beige"| [[Acquired hemolytic anemia]], [[antiphospholipid syndrome]], [[thalassemia|beta thalassemia major]], [[chronic lymphocytic leukemia]], [[chronic myeloid leukemia | |bgcolor="Beige"| [[Acquired hemolytic anemia]], [[antiphospholipid syndrome]], [[thalassemia|beta thalassemia major]], [[chronic lymphocytic leukemia]], [[chronic myeloid leukemia]], [[cryoglobulinemia]], [[essential thrombocytosis]], [[hairy cell leukemia]], [[hereditary spherocytosis]], [[lymphoma]], [[MALT lymphoma]], [[mastocytosis]], [[myelofibrosis]], [[plasma cell leukemia]], [[polycythemia vera]], [[porphyria]], [[sickle cell anemia]], [[Sézary syndrome]], [[Waldenstrom macroglobulinemia]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Iatrogenic''' | | '''Iatrogenic''' | ||
|bgcolor="Beige"| [[endoscopy|Chromoendoscopy]], [[cryoablation]], [[exercise|exercise-induced gastrointestinal bleeding]], [[laparoscopy|gas following laparoscopy]], [[surgery|gastric surgery]], [[surgery|intra abdominal adhesions]], [[thoracentesis|large volume thoracentesis]], [[magnetic resonance cholangiopancreatography]], [[milk-alkali syndrome]], [[Nasogastric tube|nasogastric | |bgcolor="Beige"| [[endoscopy|Chromoendoscopy]], [[cryoablation]], [[exercise|exercise-induced gastrointestinal bleeding]], [[laparoscopy|gas following laparoscopy]], [[surgery|gastric surgery]], [[surgery|intra abdominal adhesions]], [[thoracentesis|large volume thoracentesis]], [[magnetic resonance cholangiopancreatography]], [[milk-alkali syndrome]], [[Nasogastric tube|nasogastric tubes]], [[Whipple procedure|pancreaticoduodenectomy (Whipple procedure)]], [[biopsy|percutaneous abdominal biopsy]], [[peritoneal dialysis]], [[ERCP|post-ERCP perforation]], [[trauma|post-traumatic cysts]], [[radiation therapy]], [[referred pain]], [[ embolization|splenic artery embolization]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Infectious Disease''' | | '''Infectious Disease''' | ||
|bgcolor="Beige"| [[ | |bgcolor="Beige"| [[Amebic dysentery]], [[babesiosis]], [[bacillary dysentery]], [[botryomycosis]], [[gastroenteritis]], [[helicobacter pylori infection]], [[histoplasmosis]], [[infectious mononucleosis]], [[infective endocarditis]], [[pleural effusion|inflammatory pleural effusions]], [[parasitic worm|intestinal worm infestation]], [[Kala-azar|kala-azar (visceral leishmaniasis)]], [[malaria]], [[mediterranean spotted fever]], [[miliary tuberculosis]], [[mumps]], [[mycobacterium avium complex]], [[abdominal abscess|perinephric abscess]], [[peritonitis]], [[pneumonia]], [[post streptococcal glomerulonephritis]], [[pericarditis|purulent pericarditis]], [[pyelonephritis]], [[kidney abscess|renal abscess]], [[mucormycosis|renal mucormycosis]], [[renal tuberculosis]], [[shingles]], [[abdominal abscess|splenic abscess]], [[hydatid disease|splenic hydatid cyst]], [[subphrenic abscess]], [[malaria|tropical splenomegaly syndrome]], [[typhoid fever]], [[dengue|viral hemorrhagic fever]], [[Weil syndrome]], [[yellow fever]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Musculoskeletal/Orthopedic''' | | '''Musculoskeletal/Orthopedic''' | ||
|bgcolor="Beige"| [[ | |bgcolor="Beige"| [[Rib fracture]], [[polymyositis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Oncologic''' | | '''Oncologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Bannayan-Zonana syndrome]], [[chronic lymphocytic leukemia]], [[chronic myeloid leukemia]], [[colon cancer]], [[lymphoma|colonic lymphoma]], [[metastasis|cystic metastasis to the spleen]], [[Denys-Drash syndrome]], [[essential thrombocytosis]], [[familial adenomatous polyposis]], [[gastric carcinoma]], [[gastrinoma]], [[hairy cell leukemia]], [[mesothelioma|malignant peritoneal mesothelioma]], [[MALT lymphoma]], [[mastocytosis]], [[myelofibrosis]], [[Ménétrier's disease]], [[pancreatic cancer|pancreatic tail cancer]], [[plasma cell leukemia]], [[polycythemia vera]], [[hemangiosarcoma|renal angiosarcoma]], [[renal cell carcinoma]], [[somatostatinoma]], [[lymphoma|splenic lymphoma]], [[Sézary syndrome]], [[tuberous sclerosis]], [[tumor lysis syndrome]], [[hamartoma|visceral hamartoma]], [[hemangioma|visceral hemangioma]], [[Von Hippel-Lindau disease]], [[WAGR syndrome]], [[Waldenstrom macroglobulinemia]], [[Wilms tumor]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Pulmonary''' | | '''Pulmonary''' | ||
|bgcolor="Beige"| [[ | |bgcolor="Beige"| [[Empyema]], [[pleural effusion|inflammatory pleural effusions]], [[pneumonia]], [[AV fistula|pulmonary arteriovenous malformations]], [[pulmonary embolism]], [[pulmonary infarction]], [[systemic lupus erythematosus]], [[Wegener's granulomatosis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Renal/Electrolyte''' | | '''Renal/Electrolyte''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Dent's disease]], [[Denys-Drash syndrome]], [[glomerulonephritis]], [[Meckel syndrome]], [[medullary cystic kidney disease]], [[nephrocalcinosis]], [[abdominal abscess|perinephric abscess]], [[Polycystic kidney disease|polycystic kidney disease with splenic cysts]], [[pyelonephritis]], [[hemangiosarcoma|renal angiosarcoma]], [[renal cell carcinoma]], [[mucormycosis|renal mucormycosis]], [[renal tuberculosis]], [[renal tubular acidosis]], [[scleroderma]], [[systemic lupus erythematosus]], [[tuberous sclerosis]], [[tubulointerstitial nephritis]], [[obstructive uropathy|urinary outflow obstruction]], [[Von Hippel-Lindau disease]], [[WAGR syndrome]], [[Wegener's granulomatosis]], [[Weil syndrome]], [[Williams syndrome]], [[Wilms tumor]], [[pyelonephritis|xanthogranulomatous pyelonephritis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Sexual''' | | '''Sexual''' | ||
|bgcolor="Beige"| [[Denys-Drash | |bgcolor="Beige"| [[Denys-Drash syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Trauma''' | | '''Trauma''' | ||
|bgcolor="Beige"| [[Electrical burns]], [[rib fractures]], [[blunt splenic trauma|splenic hematoma | |bgcolor="Beige"| [[Electrical burns]], [[rib fractures]], [[blunt splenic trauma|splenic laceration and hematoma]], [[rupture spleen|traumatic splenic rupture]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|- | |- | ||
|} | |} | ||
<font color="white"> | <font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font> | ||
===Causes in Alphabetical Order=== | ===Causes in Alphabetical Order=== | ||
{{col-begin|width=80%}} | {{col-begin|width=80%}} | ||
{{col-break|width=33%}} | {{col-break|width=33%}} | ||
* Disease | *[[Blunt trauma|Abdominal compartment syndrome]] | ||
*[[Acquired hemolytic anemia]] | |||
*[[diverticulitis|Acute diverticulitis]] | |||
*[[Acute gastritis]] | |||
*[[Acute pancreatitis]] | |||
*[[Addisonian crisis]] | |||
*[[Adrenal hemorrhage]] | |||
*[[Addison's disease|Adrenal tuberculosis]] | |||
*[[Alcoholism|Alcohol ingestion]] | |||
*[[seafood|Algal toxin in shellfish]] | |||
*[[eosinophilic gastroenteritis|Allergic gastroenteropathy]] | |||
*[[Aluminum |Aluminum toxicity]] | |||
*[[Amebic dysentery]] | |||
*[[Arsenic|Arsenic poisoning]] | |||
*[[Aspirin]] | |||
*[[rupture spleen|Atraumatic splenic rupture]] | |||
*[[Autoimmune pancreatitis]] | |||
*[[Babesiosis]] | |||
*[[Bacillary dysentery]] | |||
*[[Bannayan-Zonana syndrome]] | |||
*[[thalassemia|Beta thalassemia major]] | |||
*[[bile|Bile reflux disease]] | |||
*[[Botryomycosis]] | |||
*[[Bulimia nervosa]] | |||
*[[Cadmium|Cadmium toxicity]] | |||
*[[Carbohydrate-deficient glycoprotein syndrome]] | |||
*[[Carcinoid]] | |||
*[[Celiac disease]] | |||
*[[Chromium|Chromium poisoning]] | |||
*[[endoscopy|Chromoendoscopy]] | |||
*[[Chronic constipation]] | |||
*[[Chronic lymphocytic leukemia]] | |||
*[[Chronic myeloid leukemia]] | |||
*[[Cocaine|Cocaine overdose]] | |||
*[[Colchicine toxicity]] | |||
*[[Collagenous colitis]] | |||
*[[intestinal obstruction|Colon atresia]] | |||
*[[Colon cancer]] | |||
*[[lymphoma|Colonic lymphoma]] | |||
*[[Contrast agents]] | |||
*[[Copper|Copper poisoning]] | |||
*[[Crohn's disease]] | |||
*[[Cryoablation]] | |||
*[[Cryoglobulinemia]] | |||
*[[splenic cyst|Cystic metastasis to the spleen]] | |||
*[[Cystinuria]] | |||
*[[Cytomegalovirus]] | |||
*[[Dent's disease]] | |||
*[[Denys-Drash syndrome]] | |||
*[[Diabetic ketoacidosis]] | |||
*[[Diclofenac]] | |||
*[[Eclampsia]] | |||
*[[Ecstasy overdose]] | |||
*[[Electrical burns]] | |||
*[[Empyema]] | |||
*[[Endometriosis]] | |||
*[[Eosinophilic gastroenteritis]] | |||
*[[Essential thrombocytosis]] | |||
*[[Ethylene glycol poisoning]] | |||
*[[caffeine|Excessive caffeine]] | |||
*[[Exercise|Exercise-induced gastrointestinal bleeding]] | |||
*[[Familial adenomatous polyposis]] | |||
*[[Felty's syndrome]] | |||
*[[Fentanyl toxicity]] | |||
*[[Fluvastatin]] | |||
*[[Hereditary spherocytosis]] | |||
*[[laparoscopy|Gas following laparoscopy]] | |||
*[[Gastric carcinoma]] | |||
*[[surgery|Gastric surgery]] | |||
*[[Gastric ulcer]] | |||
*[[Gastrinoma]] | |||
*[[Gastroenteritis]] | |||
*[[Gaucher Disease]] | |||
*[[Gestational trophoblastic disease]] | |||
{{col-break|width=33%}} | {{col-break|width=33%}} | ||
* | |||
*[[Glomerulonephritis]] | |||
*[[Gold]] | |||
*[[Hairy cell leukemia]] | |||
*[[Heavy metals]] | |||
*[[Helicobacter pylori infection]] | |||
*[[Hemolytic uremic syndrome]] | |||
*[[Hepatorenal syndrome]] | |||
*[[angioedema|Hereditary angio-oedema]] | |||
*[[Hiatus hernia]] | |||
*[[Homocystinuria]] | |||
*[[Hydroxyurea]] | |||
*[[Hyperuricaemia]] | |||
*[[Ibuprofen]] | |||
*[[Idiopathic]] | |||
*[[Indomethacin]] | |||
*[[Infectious mononucleosis]] | |||
*[[Infective endocarditis]] | |||
*[[pleural effusion|Inflammatory pleural effusion]] | |||
*[[Intestinal pseudo-obstruction]] | |||
*[[parasitic worm|Intestinal worm infestation]] | |||
*[[adhesions|Intra abdominal adhesions]] | |||
*[[Intussusception]] | |||
*[[Iron poisoning]] | |||
*[[Irritable bowel syndrome]] | |||
*[[Ischemic colitis]] | |||
*[[Kala-azar|Kala-azar (visceral leishmaniasis)]] | |||
*[[thoracentesis|Large volume thoracentesis]] | |||
*[[Lead poisoning]] | |||
*[[Lymphoma]] | |||
*[[Magnetic resonance cholangiopancreatography]] | |||
*[[Malaria]] | |||
*[[Malignant hypertension]] | |||
*[[Malignant hyperthermia]] | |||
*[[mesothelioma|Malignant peritoneal mesothelioma]] | |||
*[[MALT lymphoma]] | |||
*[[Mastocytosis]] | |||
*[[Meckel syndrome]] | |||
*[[Mediterranean spotted fever]] | |||
*[[Medullary cystic kidney disease]] | |||
*[[Ménétrier's disease]] | |||
*[[Mercury poisoning]] | |||
*[[acute mesenteric ischemia|Mesenteric artery ischemia]] | |||
*[[Methanol]] | |||
*[[Methotrexate]] | |||
*[[Metronidazole]] | |||
*[[Miliary tuberculosis]] | |||
*[[Milk-alkali syndrome]] | |||
*[[Multiple endocrine neoplasia type 1]] | |||
*[[Mumps]] | |||
*[[Mycobacterium avium complex]] | |||
*[[Myelofibrosis]] | |||
*[[Naproxen]] | |||
*[[Nasogastric tube|Nasogastric tubes]] | |||
*[[Nephrocalcinosis]] | |||
*[[NSAID|Nonsteroidal anti-inflammatory drugs (NSAIDs)]] | |||
*[[Organophosphate poisoning]] | |||
*[[Oxalosis]] | |||
*[[Pancreatic cancer|Pancreatic tail cancer]] | |||
*[[Whipple procedure|Pancreaticoduodenectomy (Whipple procedure)]] | |||
*[[Pentamidine]] | |||
*[[Peptic ulcer disease]] | |||
*[[biopsy|Percutaneous abdominal biopsy]] | |||
*[[gastric ulcer|Perforated gastric ulcer]] | |||
*[[Peritoneal dialysis]] | |||
*[[Peritonitis]] | |||
*[[Pernicious anemia]] | |||
*[[Plasma cell leukemia]] | |||
*[[Pneumonia]] | |||
*[[Polycystic kidney disease|Polycystic kidney disease with splenic cysts]] | |||
*[[abdominal abscess|Perinephric abscess]] | |||
*[[Polycythemia vera]] | |||
*[[Porphyria]] | |||
*[[Post streptococcal glomerulonephritis]] | |||
*[[ERCP|Post-ERCP perforation]] | |||
{{col-break|width=33%}} | {{col-break|width=33%}} | ||
* Disease | |||
*[[splenic cyst|Post-traumatic cysts]] | |||
*[[Primary hyperoxaluria]] | |||
*[[Propylthiouracil]] | |||
*[[splenic cyst|Pseudocysts cystic splenosis]] | |||
*[[Psittacosis]] | |||
*[[AV fistula|Pulmonary arteriovenous malformations]] | |||
*[[Pulmonary embolism]] | |||
*[[Pulmonary infarction]] | |||
*[[pericarditis|Purulent pericarditis]] | |||
*[[Pyelonephritis]] | |||
*[[Radiation therapy]] | |||
*[[Referred pain]] | |||
*[[Reflux nephropathy]] | |||
*[[Kidney abscess|Renal abscess]] | |||
*[[hemangiosarcoma|Renal angiosarcoma]] | |||
*[[Renal cell carcinoma]] | |||
*[[mucormycosis|Renal mucormycosis]] | |||
*[[Renal tuberculosis]] | |||
*[[Renal tubular acidosis]] | |||
*[[Reye's syndrome]] | |||
*[[Rheumatoid vasculitis]] | |||
*[[Rib fractures]] | |||
*[[Salicylates]] | |||
*[[Saw palmetto]] | |||
*[[Scarlet fever]] | |||
*[[Scleroderma]] | |||
*[[Sézary syndrome]] | |||
*[[Shingles]] | |||
*[[Sickle Cell Anemia]] | |||
*[[Silver|Silver poisoning]] | |||
*[[Somatostatinoma]] | |||
*[[Spicy food]] | |||
*[[abdominal abscess|Splenic abscess]] | |||
*[[Splenic artery aneurysm]] | |||
*[[embolization|Splenic artery embolization]] | |||
*[[blunt injury|Splenic hematoma and laceration]] | |||
*[[Hydatid disease|Splenic hydatid cyst]] | |||
*[[Splenic infarction]] | |||
*[[lymphoma|Splenic lymphoma]] | |||
*[[Splenomegaly]] | |||
*[[Splenosis]] | |||
*[[Statins]] | |||
*[[Steroid abuse]] | |||
*[[Stress ulcer]] | |||
*[[Subphrenic abscess]] | |||
*[[Systemic lupus erythematosus]] | |||
*[[Systemic vasculitis]] | |||
*[[Thrombolytic therapy]] | |||
*[[Tietze's syndrome]] | |||
*[[Toxic mushrooms]] | |||
*[[Tramadol toxicity]] | |||
*[[rupture spleen|Traumatic splenic rupture]] | |||
*[[malaria|Tropical splenomegaly syndrome]] | |||
*[[Tuberous sclerosis]] | |||
*[[Tubulointerstitial nephritis]] | |||
*[[Tumor lysis syndrome]] | |||
*[[Ulcerative colitis]] | |||
*[[obstructive uropathy|Urinary outflow obstruction]] | |||
*[[dengue|Viral hemorrhagic fevers]] | |||
*[[hamartoma|Visceral hamartoma]] | |||
*[[hemangioma|Visceral hemangioma]] | |||
*[[hypervitaminosis D|Vitamin D toxicity]] | |||
*[[Volvulus]] | |||
*[[Von Hippel-Lindau Disease]] | |||
*[[WAGR Syndrome]] | |||
*[[Waldenstrom macroglobulinemia]] | |||
*[[Wandering spleen|Wandering spleen syndrome]] | |||
*[[Wegener's granulomatosis]] | |||
*[[Weil syndrome]] | |||
*[[Williams Syndrome]] | |||
*[[Wilms tumor]] | |||
*[[pyelonephritis|Xanthogranulomatous pyelonephritis]] | |||
*[[Yellow fever]] | |||
*[[Zollinger-Ellison syndrome]] | |||
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Latest revision as of 20:50, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mugilan Poongkunran M.B.B.S [2]
Overview
Left upper quadrant pain can originate from the chest, diaphragm, abdomen, peritoneum or general medical conditions. Abdominal causes are generally due to the pathology involving spleen, stomach (also presents as epigastric and back pain), pancreas (usually present with epigastric and back pain), splenic flexure of the left colon (may have low abdominal pain or left flank pain) and left kidney (flank pain). Pain originating from intra-abdominal organ pathology may not localize accurately and diaphragmatic pain can be referred to the shoulder tip.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
- Abdominal compartment syndrome
- Acute pancreatitis
- Heavy metal toxicity
- Eclampsia
- Hepatorenal syndrome
- Infective endocarditis
- Ischemic colitis
- Ketoacidosis
- Malignant hypertension
- Mesenteric artery ischemia
- Perforated gastric ulcer
- Peritonitis
- Post-ERCP perforation
- Pulmonary embolism
- Pulmonary infarction
- Renal abscess
- Splenic abscess
- Splenic artery embolization
- Splenic infarction
- Traumatic splenic rupture
Causes of left upper quadrant abdominal pain developed by WikiDoc.org
Common Causes
- Basal pneumonia
- Empyema
- Gastritis
- Gastroduodenal ulcer
- Acute pancreatitis
- Pericarditis
- Pleuritis
- Pulmonary infarction
- Pyelonephritis
- Renal colic
- Splenic infarction
- Splenic rupture
- Splenic tumor
- Splenomegaly
Causes of left upper quadrant abdominal pain developed by WikiDoc.org
Causes by Organ System
Causes of left upper quadrant abdominal pain developed by WikiDoc.org
Causes in Alphabetical Order
Causes of left upper quadrant abdominal pain developed by WikiDoc.org