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''']]
|}
{| class="infobox" style="float:right;"
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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 (LUQ) pain can originate from the chest, diaphragm, abdomen, peritoneum or from general 'medical' causes.  Abdominal causes are generally due to the pathology involving spleen, stomach (may have epigastric pain, LUQ pain or back pain), pancreas (may have epigastric or back pain), spleenic flexure of the left colon (may have low abdominal pain or left flank pain), and left kidney (may have loin pain).  Pain orginating from intra-abdominal organ pathology may not localise accurately and diaphragmatic pain can be referred to the shoulder tip.
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 of Left Upper Quadrant Abdominal pain==
==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]]
*[[Blunt trauma|Abdominal compartment syndrome]]
*[[Acute pancreatitis]]
*[[Acute pancreatitis]]
*[[heavy metal|Heavy metal toxicity]]
*[[heavy metal|Heavy metal toxicity]]
*[[Diabetic ketoacidosis]]
*[[Eclampsia]]
*[[Eclampsia]]
*[[Hepatorenal syndrome]]
*[[Hepatorenal syndrome]]
*[[Infective endocarditis]]
*[[Infective endocarditis]]
*[[Ischemic colitis]]
*[[Ischemic colitis]]
*[[Ketoacidosis]]
*[[Malignant hypertension]]
*[[Malignant hypertension]]
*[[acute mesenteric ischemia|Mesenteric artery ischemia]]
*[[acute mesenteric ischemia|Mesenteric artery ischemia]]
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*[[Pulmonary embolism]]
*[[Pulmonary embolism]]
*[[Pulmonary infarction]]
*[[Pulmonary infarction]]
*[[abdominal abscess|Renal abscess]]
*[[Kidney abscess|Renal abscess]]
*[[abdominal abscess|Splenic abscess]]
*[[abdominal abscess|Splenic abscess]]
*[[embolization|Splenic artery embolization]]
*[[embolization|Splenic artery embolization]]
*[[Splenic infarction]]
*[[Splenic infarction]]
*[[rupture spleen|Traumatic splenic rupture]]
*[[rupture spleen|Traumatic splenic rupture]]
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>


===Common Causes===
===Common Causes===
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*[[Empyema]]
*[[Empyema]]
*[[Gastritis]]
*[[Gastritis]]
*[[Peptic ulcer|Gastroduodenal ulcer]]s
*[[Peptic ulcer|Gastroduodenal ulcer]]
*[[Kidney cancer]]
*[[Acute pancreatitis]]
*[[Pancreatitis]]
*[[Pericarditis]]
*[[Pericarditis]]
*[[Pleuritis]]
*[[Pleuritis]]
*[[Pulmonary infarction]]
*[[Pulmonary infarction]]
*[[Pyelonephritis]]
*[[Pyelonephritis]]
*[[Renal colic|Renal pain]]
*[[Renal colic]]
*[[Spleen]] [[tumor]]
*[[Splenic infarction]]
*[[Splenic infarction]]
*[[rupture spleen|Splenic rupture]]
*[[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===
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|-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]], [[heavy metals]], [[iron poisoning]], [[lead poisoning]], [[mercury poisoning]], [[methanol]], [[organophosphate poisoning]], [[saw palmetto]], [[scorpion sting]], [[silver|silver poisoning]], [[toxic mushrooms]]
|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]], [[scleroderma]]
|bgcolor="Beige"| [[Scarlet fever]], [[scleroderma]], [[shingles]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Aspirin]], [[atorvastatin]], [[azathioprine]], [[cerivastatin]], [[colchicine toxicity]], [[cyclosporin]], [[diclofenac]], [[didanosine]], [[estrogen]], [[fentanyl toxicity]], [[fluvastatin]], [[furosemide]], [[hydroxyurea]], [[ibuprofen]], [[indomethacin]], [[L-asparaginase]], [[malignant hyperthermia]], [[mercaptopurine|mercaptopurine (6-MP)]], [[methotrexate]], [[metronidazole]],  [[naproxen]], [[NSAID|nonsteroidal anti-inflammatory drugs (NSAIDs)]], [[pentamidine]], [[propylthiouracil]], [[Reye's syndrome]], [[salicylates]], [[stavudine]], [[steroid abuse]], [[sulindac]], [[tetracycline]], [[thiazides]], [[thrombolytic therapy]], [[tramadol toxicity]], [[valproic acid]], [[valsartan]], [[vinblastine]], [[vincristine]], [[hypervitaminosis D|vitamin D toxicity]], [[warfarin]], [[zalcitabine]]
|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"| [[Carcinoid]], [[diabetic ketoacidosis]], [[MODY syndrome]], [[multiple endocrine neoplasia type 1]], [[Zollinger-Ellison syndrome]]
|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]], [[acinic cell carcinoma]], [[acute pancreatitis]], [[diverticulitis|acute diverticulitis]], [[rupture spleen|atraumatic splenic rupture]], [[gastritis|autoimmune gastritis]], [[autoimmune pancreatitis]], [[Bannayan-Zonana syndrome]], [[bile|bile reflux disease]], [[bulimia nervosa]], [[celiac disease]], [[chronic constipation]], [[collagenous colitis]], [[colon cancer]], [[lymphoma|colonic lymphoma]], [[hereditary spherocytosis]], [[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]], [[Gaucher disease]], [[gout]], [[hepatorenal syndrome]], [[hiatus hernia]], [[Hyperlipidemia|hyperlipidemia (types I, IV, V)]], [[primary lymphedema|intestinal lymphangiectasia]], [[intestinal pseudo-obstruction]], [[intussusception]], [[irritable bowel syndrome]], [[ischemic colitis]], [[pancreatic cancer|islet cell adenoma]], [[mesothelioma|malignant peritoneal mesothelioma]], [[Ménétrier's disease]], [[milk-alkali syndrome]], [[pancreatic cancer|pancreatic cystic neoplasms]], [[pancreatic cancer|pancreatic tail cancer]], [[peptic ulcer disease]], [[gastric ulcer|perforated gastric ulcer]], [[peritonitis]], [[pernicious anemia]], [[Peutz-Jeghers syndrome]], [[polycystic kidney disease|polycystic kidney disease with splenic cysts]], [[porphyria]], [[splenic cyst|pseudocysts cystic splenosis]], [[scarlet fever]], [[scleroderma]], [[somatostatinoma]], [[abdominal abscess|splenic abscess]], [[blunt splenic trauma|splenic hematoma and laceration]], [[splenic infarction]], [[lymphoma|splenic lymphoma]], [[splenosis]], [[stress ulcer]], [[abdominal abscess|subphrenic abscess]], [[rupture spleen|traumatic splenic rupture]], [[typhoid fever]], [[ulcerative colitis]], [[viral gastroenteritis]], [[hamartoma|visceral hamartoma]], [[hemangioma|visceral hemangioma]], [[volvulus]], [[Wandering spleen|wandering spleen syndrome]], [[Zollinger-Ellison 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"| [[Alpha-1-antitrypsin deficiency]], [[Alport syndrome]], [[Familial hypoalphalipoproteinemia|apolipoprotein C deficiency]], [[thalassemia|beta thalassemia major]], [[bowel obstruction|colon atresia]], [[cystic fibrosis]], [[cystinuria]], [[Dent's disease]], [[familial adenomatous polyposis]], [[Gaucher disease]], [[angioedema|hereditary angio-oedema]], [[homocystinuria]], [[hyperlipidemia|hyperlipidemia (types I, IV, V)]], [[Meckel syndrome]], [[Polycystic kidney disease|polycystic kidney disease with splenic cysts]], [[porphyria]], [[primary hyperoxaluria]], [[sickle cell anemia]], [[tuberous sclerosis]], [[Turner syndrome]], [[Von Hippel-Lindau Disease]], [[WAGR syndrome]], [[Williams syndrome]]
|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]], [[hereditary spherocytosis]], [[cryoglobulinemia]], [[essential thrombocytosis]], [[hairy cell leukemia]], [[lymphomas]], [[MALT lymphoma]], [[mastocytosis]], [[myelofibrosis]], [[myoglobinuria ]], [[plasma cell leukemia]], [[polycythemia vera]], [[porphyria]], [[Sézary syndrome]], [[sickle cell anemia]], [[Waldenstrom macroglobulinemia]]
|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 and nasoenteric tubes]], [[Whipple procedure|pancreaticoduodenectomy (Whipple procedure)]], [[biopsy|percutaneous abdominal biopsy]], [[peritoneal dialysis]], [[ERCP|post-ERCP perforation]], [[trauma|post-traumatic cysts]], [[surgery|precut (access) papillotomy]], [[radiation therapy]], [[referred pain]], [[ embolization|splenic artery embolization]], [[Hypervitaminosis D|vitamin D toxicity]]
|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"| [[mycobacterium avium complex|AIDS with mycobacterium avium complex]], [[AIDS|AIDS-associated nephropathy]], [[cytomegalovirus|AIDS-related cytomegalovirus]], [[amebic dysentery]], [[ascariasis]], [[babesiosis]], [[bacillary dysentery]], [[botryomycosis]], [[brucellosis]], [[campylobacter jejuni]], [[candidiasis]], [[malaria|chronic malaria]], [[giardiasis]], [[helicobacter pylori infection]], [[histoplasmosis]], [[Hydatid disease|hydatid (echinococcal) cysts]], [[infectious mononucleosis]], [[infective endocarditis]], [[pleural effusion|inflammatory pleural effusions]], [[parasitic worm|intestinal worm infestation]], [[Kala-azar|kala-azar (visceral leishmaniasis)]], [[mediterranean spotted fever]], [[miliary tuberculosis]], [[mumps]], [[peritonitis]], [[pneumonia]], [[post streptococcal glomerulonephritis]], [[psittacosis]], [[pericarditis|purulent pericarditis]], [[pyelonephritis]], [[abdominal abscess|renal abscess]], [[abdominal abscess|perinephric abscess]], [[mucormycosis|renal mucormycosis]], [[renal tuberculosis]], [[shingles]], [[abdominal abscess|splenic abscess]], [[staphylococcal toxic shock syndrome]], [[streptococcal toxic shock syndrome]], [[subphrenic abscess]], [[traveler's diarrhea]], [[malaria|tropical splenomegaly syndrome]], [[typhoid fever]], [[vibrio parahaemolyticus]], [[viral gastroenteritis]], [[dengue|viral hemorrhagic fevers]], [[Weil syndrome]], [[yellow fever]]
|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"| [[Gout]]
|bgcolor="Beige"| [[Rib fracture]], [[polymyositis]]  
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"|[[Acinic cell carcinoma]], [[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]], [[pancreatic cancer|islet cell adenoma]], [[mesothelioma|malignant peritoneal mesothelioma]], [[MALT lymphoma]], [[mastocytosis]], [[ménétrier's disease]], [[myelofibrosis]], [[pancreatic cancer|pancreatic tail cancer]], [[Peutz-Jeghers syndrome]], [[plasma cell leukemia]], [[polycythemia vera]], [[hemangiosarcoma|renal angiosarcoma]], [[renal cell carcinoma]], [[Sézary syndrome]], [[somatostatinoma]], [[lymphoma|splenic lymphoma]], [[tuberous sclerosis]], [[tumor lysis syndrome]], [[hamartoma|visceral hamartoma]], [[hemangioma|visceral hemangioma]], [[Von Hippel-Lindau disease]], [[WAGR syndrome]], [[Waldenstrom macroglobulinemia]], [[Wilms' tumor]]
|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"| [[Alpha-1-antitrypsin deficiency]], [[cystic fibrosis]], [[empyema]], [[Goodpasture syndrome]], [[pleural effusion|inflammatory pleural effusions]], [[pneumonia]], [[AV fistula|pulmonary arteriovenous malformations]], [[pulmonary embolism]], [[pulmonary infarction]], [[systemic lupus erythematosus]], [[Wegener's granulomatosis]]
|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"| [[Alport syndrome]], [[cystinuria]], [[Dent's disease]], [[Denys-Drash syndrome]], [[Goodpasture syndrome]], [[homocystinuria]], [[Meckel syndrome]], [[medullary cystic kidney disease]], [[membranoproliferative glomerulonephritis]], [[myoglobinuria]], [[nephrocalcinosis]], [[oxalosis]], [[Polycystic kidney disease|polycystic kidney disease with splenic cysts]], [[post streptococcal glomerulonephritis]], [[pyelonephritis]], [[reflux nephropathy]], [[abdominal abscess|perinephric abscess]], [[hemangiosarcoma|renal angiosarcoma]], [[renal cell carcinoma]], [[mucormycosis|renal mucormycosis]], [[renal tuberculosis]], [[renal tubular acidosis]], [[scleroderma]], [[systemic lupus erythematosus]], [[tuberous sclerosis]], [[tubulointerstitial nephritis]], [[Turner syndrome]], [[obstructive uropathy|urinary outflow obstruction]], [[vesicoureteral reflux]], [[Von Hippel-Lindau disease]], [[WAGR syndrome]], [[Wegener's granulomatosis]], [[Weil syndrome]], [[Williams syndrome]], [[Wilms tumor]], [[pyelonephritis|xanthogranulomatous pyelonephritis]]
|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 syndrome]], [[Turner syndrome]]
|bgcolor="Beige"| [[Denys-Drash syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| [[Electrical burns]], [[rib fractures]], [[blunt splenic trauma|splenic hematoma and laceration]], [[rupture spleen|traumatic splenic rupture]]
|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">Causes by Organ System developed by WikiDoc.org, Copyleft 2013</font>
<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%}}
*[[Blunt trauma|Abdominal compartment syndrome]]
*[[Blunt trauma|Abdominal compartment syndrome]]
*[[Acinic cell carcinoma]]
*[[Acquired hemolytic anemia]]
*[[Acquired hemolytic anemia]]
*[[diverticulitis|Acute diverticulitis]]
*[[diverticulitis|Acute diverticulitis]]
*[[Acute gastritis]]
*[[Acute gastritis]]
*[[Acute pancreatitis]]
*[[Acute pancreatitis]]
*[[mycobacterium avium  complex|AIDS with mycobacterium avium  complex]]
*[[Addisonian crisis]]
*[[AIDS|AIDS-associated nephropathy]]
*[[Adrenal hemorrhage]]
*[[cytomegalovirus|AIDS-related cytomegalovirus]]
*[[Addison's disease|Adrenal tuberculosis]]
*[[Alcoholism|Alcohol ingestion]]
*[[Alcoholism|Alcohol ingestion]]
*[[seafood|Algal toxin in shellfish]]
*[[seafood|Algal toxin in shellfish]]
*[[eosinophilic gastroenteritis|Allergic gastroenteropathy]]
*[[eosinophilic gastroenteritis|Allergic gastroenteropathy]]
*[[Alpha-1-antitrypsin deficiency]]
*[[Alport syndrome]]
*[[Aluminum |Aluminum toxicity]]
*[[Aluminum |Aluminum toxicity]]
*[[Amebic dysentery]]
*[[Amebic dysentery]]
*[[Amyloidosis]]
*[[Antiphospholipid syndrome]]
*[[Familial hypoalphalipoproteinemia|Apolipoprotein C deficiency]]
*[[Arsenic|Arsenic poisoning]]
*[[Arsenic|Arsenic poisoning]]
*[[Ascariasis]]
*[[Aspirin]]
*[[Aspirin]]
*[[Atorvastatin]]
*[[rupture spleen|Atraumatic splenic rupture]]
*[[rupture spleen|Atraumatic splenic rupture]]
*[[gastritis|Autoimmune gastritis]]
*[[Autoimmune pancreatitis]]
*[[Autoimmune pancreatitis]]
*[[Azathioprine]]
*[[Babesiosis]]
*[[Babesiosis]]
*[[Bacillary dysentery]]
*[[Bacillary dysentery]]
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*[[bile|Bile reflux disease]]
*[[bile|Bile reflux disease]]
*[[Botryomycosis]]
*[[Botryomycosis]]
*[[Brucellosis]]
*[[Bulimia nervosa]]
*[[Bulimia nervosa]]
*[[Cadmium|Cadmium toxicity]]
*[[Cadmium|Cadmium toxicity]]
*[[Campylobacter jejuni]]
*[[Candidiasis]]
*[[Carbohydrate-deficient glycoprotein  syndrome]]
*[[Carbohydrate-deficient glycoprotein  syndrome]]
*[[Carcinoid]]
*[[Carcinoid]]
*[[Celiac disease]]
*[[Celiac disease]]
*[[Cerivastatin]]
*[[Chromium|Chromium poisoning]]
*[[Chromium|Chromium poisoning]]
*[[endoscopy|Chromoendoscopy]]
*[[endoscopy|Chromoendoscopy]]
*[[Chronic constipation]]
*[[Chronic constipation]]
*[[Chronic lymphocytic leukemia]]
*[[Chronic lymphocytic leukemia]]
*[[ malaria|Chronic malaria]]
*[[Chronic myeloid leukemia]]
*[[Chronic myeloid leukemia]]
*[[Cocaine|Cocaine overdose]]
*[[Cocaine|Cocaine overdose]]
Line 223: Line 216:
*[[Colon cancer]]
*[[Colon cancer]]
*[[lymphoma|Colonic lymphoma]]
*[[lymphoma|Colonic lymphoma]]
*[[splenomegaly|Congestive splenomegaly]]
*[[Contrast agents]]
*[[Contrast agents]]
*[[Copper|Copper poisoning]]
*[[Copper|Copper poisoning]]
Line 229: Line 221:
*[[Cryoablation]]
*[[Cryoablation]]
*[[Cryoglobulinemia]]
*[[Cryoglobulinemia]]
*[[Cyclosporin]]
*[[splenic cyst|Cystic metastasis to the spleen]]
*[[Cystic fibrosis]]
*[[metastasis|Cystic metastasis to the spleen]]
*[[Cystinuria]]
*[[Cystinuria]]
*[[Cytomegalovirus]]
*[[Dent's disease]]
*[[Dent's disease]]
*[[Denys-Drash syndrome]]
*[[Denys-Drash syndrome]]
*[[Diabetic ketoacidosis]]
*[[Diabetic ketoacidosis]]
*[[Diclofenac]]
*[[Diclofenac]]
*[[Didanosine]]
*[[Eclampsia]]
*[[Eclampsia]]
*[[Ecstasy overdose]]
*[[Ecstasy overdose]]
Line 245: Line 235:
*[[Eosinophilic gastroenteritis]]
*[[Eosinophilic gastroenteritis]]
*[[Essential thrombocytosis]]
*[[Essential thrombocytosis]]
*[[Estrogen]]
*[[Ethylene glycol poisoning]]
*[[Ethylene glycol poisoning]]
*[[caffeine|Excessive caffeine]]
*[[caffeine|Excessive caffeine]]
*[[Exercise|Exercise-induced gastrointestinal  bleeding]]
*[[Exercise|Exercise-induced gastrointestinal  bleeding]]
*[[Familial adenomatous polyposis]]
*[[Familial adenomatous polyposis]]
*[[Fanconi disease]]
*[[Felty's syndrome]]
*[[Felty's syndrome]]
*[[Fentanyl toxicity]]
*[[Fentanyl toxicity]]
*[[Fluvastatin]]
*[[Fluvastatin]]
*[[Food intolerance]]
*[[Food poisoning]]
*[[Furosemide]]
*[[Hereditary spherocytosis]]
*[[Hereditary spherocytosis]]
*[[mercaptopurine|Mercaptopurine (6-MP)]]
*[[laparoscopy|Gas following  laparoscopy]]
*[[laparoscopy|Gas following  laparoscopy]]
{{col-break|width=33%}}
*[[Gastric carcinoma]]
*[[Gastric carcinoma]]
*[[surgery|Gastric surgery]]
*[[surgery|Gastric surgery]]
*[[Gastric ulcer]]
*[[Gastric ulcer]]
*[[Gastrinoma]]
*[[Gastrinoma]]
*[[Gastroenteritis]]
*[[Gaucher Disease]]
*[[Gaucher Disease]]
*[[Gestational trophoblastic disease]]
*[[Gestational trophoblastic disease]]
*[[Giardiasis]]
{{col-break|width=33%}}
 
*[[Glomerulonephritis]]
*[[Gold]]
*[[Gold]]
*[[Goodpasture syndrome]]
*[[Gout]]
*[[Hairy cell leukemia]]
*[[Hairy cell leukemia]]
*[[Heavy metals]]
*[[Heavy metals]]
Line 278: Line 262:
*[[angioedema|Hereditary angio-oedema]]
*[[angioedema|Hereditary angio-oedema]]
*[[Hiatus hernia]]
*[[Hiatus hernia]]
*[[Histoplasmosis]]
*[[Homocystinuria]]
*[[Homocystinuria]]
*[[Hydatid disease|Hydatid (echinococcal) cysts]]
*[[Hydroxyurea]]
*[[Hydroxyurea]]
*[[Hyperlipidemia |Hyperlipidemia (types I, IV, V)]]
*[[Hyperparathyroidism]]
*[[Hyperuricaemia]]
*[[Hyperuricaemia]]
*[[Ibuprofen]]
*[[Ibuprofen]]
Line 291: Line 271:
*[[Infective endocarditis]]
*[[Infective endocarditis]]
*[[pleural effusion|Inflammatory pleural effusion]]
*[[pleural effusion|Inflammatory pleural effusion]]
*[[primary lymphedema|Intestinal lymphangiectasia]]
*[[Intestinal pseudo-obstruction]]
*[[Intestinal pseudo-obstruction]]
*[[parasitic worm|Intestinal worm infestation]]
*[[parasitic worm|Intestinal worm infestation]]
Line 299: Line 278:
*[[Irritable bowel syndrome]]
*[[Irritable bowel syndrome]]
*[[Ischemic colitis]]
*[[Ischemic colitis]]
*[[pancreatic cancer|Islet cell adenoma]]
*[[Kala-azar|Kala-azar (visceral leishmaniasis)]]
*[[Kala-azar|Kala-azar (visceral leishmaniasis)]]
*[[L-asparaginase]]
*[[thoracentesis|Large volume thoracentesis]]
*[[thoracentesis|Large volume thoracentesis]]
*[[Lead poisoning]]
*[[Lead poisoning]]
*[[Lymphomas]]
*[[Lymphoma]]
*[[Magnetic resonance  cholangiopancreatography]]
*[[Magnetic resonance  cholangiopancreatography]]
*[[Malaria]]
*[[Malignant hypertension]]
*[[Malignant hypertension]]
*[[Malignant hyperthermia]]
*[[Malignant hyperthermia]]
Line 314: Line 292:
*[[Mediterranean spotted fever]]
*[[Mediterranean spotted fever]]
*[[Medullary cystic kidney disease]]
*[[Medullary cystic kidney disease]]
*[[Membranoproliferative  glomerulonephritis]]
*[[Ménétrier's disease]]
*[[Ménétrier's disease]]
*[[Mercury poisoning]]
*[[Mercury poisoning]]
Line 323: Line 300:
*[[Miliary tuberculosis]]
*[[Miliary tuberculosis]]
*[[Milk-alkali syndrome]]
*[[Milk-alkali syndrome]]
*[[MODY syndrome]]
*[[Multiple endocrine neoplasia type 1]]
*[[Multiple endocrine neoplasia type 1]]
*[[Mumps]]
*[[Mumps]]
*[[Mycobacterium avium complex]]
*[[Myelofibrosis]]
*[[Myelofibrosis]]
*[[Myoglobinuria ]]
*[[Naproxen]]
*[[Naproxen]]
*[[Nasogastric tube|Nasogastric and nasoenteric tubes]]
*[[Nasogastric tube|Nasogastric tubes]]
*[[Nephrocalcinosis]]
*[[Nephrocalcinosis]]
*[[NSAID|Nonsteroidal anti-inflammatory drugs  (NSAIDs)]]
*[[NSAID|Nonsteroidal anti-inflammatory drugs  (NSAIDs)]]
Line 343: Line 319:
*[[Peritonitis]]
*[[Peritonitis]]
*[[Pernicious anemia]]
*[[Pernicious anemia]]
*[[Peutz-Jeghers syndrome]]
*[[Plasma cell leukemia]]
*[[Plasma cell leukemia]]
*[[Pneumonia]]
*[[Pneumonia]]
Line 353: Line 328:
*[[ERCP|Post-ERCP perforation]]
*[[ERCP|Post-ERCP perforation]]
{{col-break|width=33%}}
{{col-break|width=33%}}
*[[splenic cyst|Post-traumatic cysts]]
*[[splenic cyst|Post-traumatic cysts]]
*[[surgery|Precut (access) papillotomy]]
*[[Primary hyperoxaluria]]
*[[Primary hyperoxaluria]]
*[[Propylthiouracil]]
*[[Propylthiouracil]]
Line 367: Line 342:
*[[Referred pain]]
*[[Referred pain]]
*[[Reflux nephropathy]]
*[[Reflux nephropathy]]
*[[abdominal abscess|Renal abscess]]
*[[Kidney abscess|Renal abscess]]
*[[hemangiosarcoma|Renal angiosarcoma]]
*[[hemangiosarcoma|Renal angiosarcoma]]
*[[Renal cell carcinoma]]
*[[Renal cell carcinoma]]
Line 380: Line 355:
*[[Scarlet fever]]
*[[Scarlet fever]]
*[[Scleroderma]]
*[[Scleroderma]]
*[[Scorpion sting]]
*[[Sézary syndrome]]
*[[Sézary syndrome]]
*[[Shingles]]
*[[Shingles]]
Line 391: Line 365:
*[[embolization|Splenic artery embolization]]
*[[embolization|Splenic artery embolization]]
*[[blunt injury|Splenic hematoma and laceration]]
*[[blunt injury|Splenic hematoma and laceration]]
*[[Hydatid disease|Splenic hydatid cyst]]
*[[Splenic infarction]]
*[[Splenic infarction]]
*[[lymphoma|Splenic lymphoma]]
*[[lymphoma|Splenic lymphoma]]
*[[Splenomegaly]]
*[[Splenosis]]
*[[Splenosis]]
*[[Staphylococcal toxic shock syndrome]]
*[[Statins]]
*[[Stavudine]]
*[[Steroid abuse]]
*[[Steroid abuse]]
*[[Streptococcal toxic shock syndrome]]
*[[Stress ulcer]]
*[[Stress ulcer]]
*[[Subphrenic abscess]]
*[[Subphrenic abscess]]
*[[Sulindac]]
*[[Systemic lupus erythematosus]]
*[[Systemic lupus erythematosus]]
*[[Systemic vasculitis]]
*[[Systemic vasculitis]]
*[[Tetracycline]]
*[[Thiazides]]
*[[Thrombolytic therapy]]
*[[Thrombolytic therapy]]
*[[Tietze's syndrome]]
*[[Tietze's syndrome]]
Line 410: Line 381:
*[[Tramadol toxicity]]
*[[Tramadol toxicity]]
*[[rupture spleen|Traumatic splenic rupture]]
*[[rupture spleen|Traumatic splenic rupture]]
*[[Traveler's diarrhea]]
*[[malaria|Tropical splenomegaly syndrome]]
*[[malaria|Tropical splenomegaly syndrome]]
*[[Tuberous sclerosis]]
*[[Tuberous sclerosis]]
*[[Tubulointerstitial nephritis]]
*[[Tubulointerstitial nephritis]]
*[[Tumor lysis syndrome]]
*[[Tumor lysis syndrome]]
*[[Turner Syndrome]]
*[[Typhoid fever]]
*[[Ulcerative colitis]]
*[[Ulcerative colitis]]
*[[obstructive uropathy|Urinary outflow obstruction]]
*[[obstructive uropathy|Urinary outflow obstruction]]
*[[Valproic acid]]
*[[Valsartan]]
*[[Vibrio parahaemolyticus]]
*[[Vinblastine]]
*[[Vincristine]]
*[[Viral gastroenteritis]]
*[[dengue|Viral hemorrhagic fevers]]
*[[dengue|Viral hemorrhagic fevers]]
*[[hamartoma|Visceral hamartoma]]
*[[hamartoma|Visceral hamartoma]]
Line 434: Line 396:
*[[Waldenstrom macroglobulinemia]]
*[[Waldenstrom macroglobulinemia]]
*[[Wandering spleen|Wandering spleen syndrome]]
*[[Wandering spleen|Wandering spleen syndrome]]
*[[Warfarin]]
*[[Wegener's granulomatosis]]
*[[Wegener's granulomatosis]]
*[[Weil syndrome]]
*[[Weil syndrome]]
*[[Williams Syndrome]]
*[[Williams Syndrome]]
*[[Wilms tumor]]
*[[Wilms tumor]]
*[[ pyelonephritis|Xanthogranulomatous pyelonephritis]]
*[[pyelonephritis|Xanthogranulomatous pyelonephritis]]
*[[Yellow fever]]
*[[Yellow fever]]
*[[Zalcitabine]]
*[[Zollinger-Ellison syndrome]]
*[[Zollinger-Ellison syndrome]]
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Latest revision as of 20:50, 29 July 2020



Resident
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Abdominal pain Microchapters

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Causes

Diffuse Abdominal Pain
Left Upper Quadrant
Left Flank
Left Lower Quadrant
Epigastric Quadrant
Umbilical Region
Pelvic Region
Right Upper Quadrant
Right Flank
Right Lower Quadrant
Intraperitoneal
Extraperitoneal

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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.

Causes of left upper quadrant abdominal pain developed by WikiDoc.org

Common Causes

Causes of left upper quadrant abdominal pain developed by WikiDoc.org

Causes by Organ System

Cardiovascular Abdominal aortic aneurysm rupture, infective endocarditis, intestinal lymphangiectasia, ischemic colitis, malignant hypertension, mesenteric artery ischemia, pulmonary arteriovenous malformations, pulmonary embolism, pulmonary infarction, purulent pericarditis, rheumatoid vasculitis, splenic artery aneurysm, splenic artery embolization, splenic infarction, systemic vasculitis
Chemical/Poisoning Algal toxin in shellfish, aluminum toxicity, arsenic poisoning, cadmium toxicity, chromium poisoning, copper poisoning, ecstasy overdose, ethylene glycol poisoning, food poisoning, gold, iron poisoning, lead poisoning, mercury poisoning, methanol, organophosphate poisoning, saw palmetto, silver poisoning, toxic mushrooms
Dental No underlying causes
Dermatologic Scarlet fever, scleroderma, shingles
Drug Side Effect Aspirin, colchicine toxicity, diclofenac, didanosine, fentanyl toxicity, hydroxyurea, ibuprofen, indomethacin, malignant hyperthermia, nonsteroidal anti-inflammatory drugs (NSAIDs), propylthiouracil, Reye's syndrome, statins, steroid abuse, thrombolytic therapy, tramadol toxicity, vitamin D toxicity
Ear Nose Throat No underlying causes
Endocrine Addisonian crisis, adrenal hemorrhage, adrenal tuberculosis, carcinoid, diabetic ketoacidosis, multiple endocrine neoplasia type 1, Zollinger-Ellison syndrome
Environmental Organophosphate poisoning, saw palmetto
Gastroenterologic Abdominal compartment syndrome, acute diverticulitis, acute pancreatitis, atraumatic splenic rupture, autoimmune pancreatitis, Bannayan-Zonana syndrome, bile reflux disease, bulimia nervosa, celiac disease, chronic constipation, collagenous colitis, colon cancer, colonic lymphoma, congestive splenomegaly, Crohn's disease, 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, malignant peritoneal mesothelioma, milk-alkali syndrome, Ménétrier's disease, pancreatic cystic neoplasms, pancreatic tail cancer, peptic ulcer disease, perforated gastric ulcer, peritonitis, pernicious anemia, polycystic kidney disease with splenic cysts, porphyria, pseudocysts cystic splenosis, scarlet fever, scleroderma, somatostatinoma, splenic abscess, splenic infarction, splenic laceration and trauma, splenic lymphoma, splenosis, stress ulcer, subphrenic abscess, traumatic splenic rupture, typhoid fever, ulcerative colitis, visceral hamartoma, visceral hemangioma, volvulus, wandering spleen syndrome, Zollinger-Ellison syndrome
Genetic Beta thalassemia major, colon atresia, cystic fibrosis, Dent's disease, familial adenomatous polyposis, Gaucher disease, hereditary angio-oedema, Meckel syndrome, polycystic kidney disease with splenic cysts, porphyria, primary hyperoxaluria, sickle cell anemia, Von Hippel-Lindau disease, WAGR syndrome, Williams syndrome
Hematologic Acquired hemolytic anemia, antiphospholipid syndrome, 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
Iatrogenic Chromoendoscopy, cryoablation, exercise-induced gastrointestinal bleeding, gas following laparoscopy, gastric surgery, intra abdominal adhesions, large volume thoracentesis, magnetic resonance cholangiopancreatography, milk-alkali syndrome, nasogastric tubes, pancreaticoduodenectomy (Whipple procedure), percutaneous abdominal biopsy, peritoneal dialysis, post-ERCP perforation, post-traumatic cysts, radiation therapy, referred pain, splenic artery embolization
Infectious Disease Amebic dysentery, babesiosis, bacillary dysentery, botryomycosis, gastroenteritis, helicobacter pylori infection, histoplasmosis, infectious mononucleosis, infective endocarditis, inflammatory pleural effusions, intestinal worm infestation, kala-azar (visceral leishmaniasis), malaria, mediterranean spotted fever, miliary tuberculosis, mumps, mycobacterium avium complex, perinephric abscess, peritonitis, pneumonia, post streptococcal glomerulonephritis, purulent pericarditis, pyelonephritis, renal abscess, renal mucormycosis, renal tuberculosis, shingles, splenic abscess, splenic hydatid cyst, subphrenic abscess, tropical splenomegaly syndrome, typhoid fever, viral hemorrhagic fever, Weil syndrome, yellow fever
Musculoskeletal/Orthopedic Rib fracture, polymyositis
Neurologic Meckel syndrome
Nutritional/Metabolic Carbohydrate-deficient glycoprotein syndrome, cystinuria, Gaucher Disease, homocystinuria, hyperuricaemia, oxalosis
Obstetric/Gynecologic Eclampsia, endometriosis, gestational trophoblastic disease
Oncologic Bannayan-Zonana syndrome, chronic lymphocytic leukemia, chronic myeloid leukemia, colon cancer, colonic lymphoma, cystic metastasis to the spleen, Denys-Drash syndrome, essential thrombocytosis, familial adenomatous polyposis, gastric carcinoma, gastrinoma, hairy cell leukemia, malignant peritoneal mesothelioma, MALT lymphoma, mastocytosis, myelofibrosis, Ménétrier's disease, pancreatic tail cancer, plasma cell leukemia, polycythemia vera, renal angiosarcoma, renal cell carcinoma, somatostatinoma, splenic lymphoma, Sézary syndrome, tuberous sclerosis, tumor lysis syndrome, visceral hamartoma, visceral hemangioma, Von Hippel-Lindau disease, WAGR syndrome, Waldenstrom macroglobulinemia, Wilms tumor
Ophthalmologic No underlying causes
Overdose/Toxicity Cocaine overdose, contrast agents, fentanyl toxicity, steroid abuse, tramadol toxicity
Psychiatric Bulimia nervosa, intestinal pseudo-obstruction, irritable bowel syndrome, stress ulcer
Pulmonary Empyema, inflammatory pleural effusions, pneumonia, pulmonary arteriovenous malformations, pulmonary embolism, pulmonary infarction, systemic lupus erythematosus, Wegener's granulomatosis
Renal/Electrolyte Dent's disease, Denys-Drash syndrome, glomerulonephritis, Meckel syndrome, medullary cystic kidney disease, nephrocalcinosis, perinephric abscess, polycystic kidney disease with splenic cysts, pyelonephritis, renal angiosarcoma, renal cell carcinoma, renal mucormycosis, renal tuberculosis, renal tubular acidosis, scleroderma, systemic lupus erythematosus, tuberous sclerosis, tubulointerstitial nephritis, urinary outflow obstruction, Von Hippel-Lindau disease, WAGR syndrome, Wegener's granulomatosis, Weil syndrome, Williams syndrome, Wilms tumor, xanthogranulomatous pyelonephritis
Rheumatology/Immunology/Allergy Allergic gastroenteropathy, autoimmune gastritis, autoimmune pancreatitis, crohn's disease, cryoglobulinemia, Felty's syndrome, food intolerance, hereditary angio-oedema, pernicious anemia, Reye's syndrome, rheumatoid vasculitis, scarlet fever, systemic lupus erythematosus, systemic vasculitis, ulcerative colitis, Wegener's granulomatosis
Sexual Denys-Drash syndrome
Trauma Electrical burns, rib fractures, splenic laceration and hematoma, traumatic splenic rupture
Urologic No underlying causes
Miscellaneous Alcohol ingestion, chronic constipation, excessive caffeine, idiopathic, spicy food, splenosis

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

References

Template:Gastroenterology

Template:WikiDoc Sources