Causes of right flank pain: Difference between revisions
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| [[File:Siren.gif|30px|link=Abdominal pain resident survival guide]]|| <br> || <br> | |||
| [[Abdominal pain resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']] | |||
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{{Abdominal pain}} | |||
{{CMG}}; {{AE}} {{VR}} | |||
==Overview== | |||
Right flank pain is a sensation of discomfort, distress or agony in the right side of the [[abdomen]] below the [[rib]] and above the [[ilium]], generally beginning posteriorly or in the midaxillary line. It usually arises from the right [[kidney]], its capsule or the right [[ureter]]. Similar pain is sometimes caused by extraurinary abnormalities. | |||
==Causes== | |||
===Life Threatening Causes=== | |||
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | |||
*[[Acute tubular necrosis]] | |||
*[[Ischemic colitis]] | |||
*[[Ovarian torsion]] | |||
*[[Kidney abscess|Renal abscess]] | |||
*[[Dissection (medical)|Renal artery dissection]] | |||
*[[Renal cyst|Renal cyst rupture or hemorrhage]] | |||
*[[Ruptured abdominal aortic aneurysm]] | |||
*[[Renal vein thrombosis]] | |||
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font> | |||
===Common Causes=== | |||
*[[Muscle spasm|Abdominal muscle spasm]] | |||
*[[Acute pyelonephritis]] | |||
*[[Nephrolithiasis]] | |||
*[[Polycystic kidney disease]] | |||
*[[Renal cyst]] | |||
*[[Urinary tract infection]]<ref>{{Cite journal | last1 = Wolffram | first1 = S. | last2 = Bisang | first2 = B. | last3 = Grenacher | first3 = B. | last4 = Scharrer | first4 = E. | title = Transport of tri- and dicarboxylic acids across the intestinal brush border membrane of calves. | journal = J Nutr | volume = 120 | issue = 7 | pages = 767-74 | month = Jul | year = 1990 | doi = | PMID = 2366111 }}</ref><ref>{{Cite journal | last1 = Christodoulidou | first1 = M. | last2 = Thomas | first2 = M. | last3 = Sharma | first3 = SD. | title = Hydronephrosis and loin pain as a presentation of tubo-ovarian abscess developing after Mirena coil removal. | journal = BMJ Case Rep | volume = 2012 | issue = | pages = | month = | year = 2012 | doi = 10.1136/bcr-03-2012-6108 | PMID = 22865801 }}</ref><ref name="Smith-2012">{{Cite journal | last1 = Smith | first1 = HS. | last2 = Bajwa | first2 = ZH. | title = Loin pain hematuria syndrome-visceral or neuropathic pain syndrome? | journal = Clin J Pain | volume = 28 | issue = 7 | pages = 646-51 | month = Sep | year = 2012 | doi = 10.1097/AJP.0b013e31823d47f3 | PMID = 22699133 }}</ref> | |||
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font> | |||
===Causes by Organ System=== | |||
{|style="width:82%; height:100px" border="1" | |||
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | |||
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Renal cortical necrosis|Acute cortical necrosis]], [[acute tubular necrosis]], [[arteriovenous malformation]], [[atheroemboli]], [[fibromuscular dysplasia]], [[hypertensive emergency]], [[hypertensive urgency]], [[ischemic colitis]], [[Aneurysm|renal artery aneurysm]], [[Dissection (medical)|renal artery dissection]], [[renal infarction]], [[renal vein thrombosis]], [[ruptured abdominal aortic aneurysm]], [[Thromboembolism|thromboemboli]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Chemical/Poisoning''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Dental''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Dermatologic''' | |||
|bgcolor="Beige"| [[Herpes zoster]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Drug Side Effect''' | |||
|bgcolor="Beige"| [[Renal papillary necrosis|Acute papillary necrosis]], [[Acute renal failure|crystal induced acute kidney injury]], [[Interstitial nephritis|drug induced interstitial nephritis]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Ear Nose Throat''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Endocrine''' | |||
|bgcolor="Beige"| [[Adrenal hemorrhage]], [[adrenocortical carcinoma]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Environmental''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Gastroenterologic''' | |||
|bgcolor="Beige"| [[Acute cholecystitis]], [[Appendicitis history and symptoms#Atypical Symptoms|appendicitis during pregnancy]], [[Colorectal cancer|ascending colon carcinoma]], [[biliary colic]], [[cholangitis]], [[cholelithiasis]], [[colitis]], [[colon carcinoma]], [[echinococcosis]], [[gall stones]], [[gallbladder empyema]], [[hepatitis]], [[hepatomegaly]], [[inflammatory bowel disease]], [[ischemic colitis]], [[liver abscess]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Genetic''' | |||
|bgcolor="Beige"| [[Xanthine oxydase deficiency]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Hematologic''' | |||
|bgcolor="Beige"| [[Renal papillary necrosis|Acute papillary necrosis]], [[sickle cell disease]], [[coagulopathy]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Iatrogenic''' | |||
|bgcolor="Beige"| [[Penile prosthesis#Disadvantages|Infected penile prosthesis]], [[nephrostomy]], [[Surgery|pelvic surgery]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Infectious Disease''' | |||
|bgcolor="Beige"| [[Nephritis|Acute nephritis]], [[acute pyelonephritis]], [[adrenal hemorrhage]], [[bilharziosis]], [[candidemia]], [[cholangitis]], [[colitis]], [[echinococcosis]], [[Kidney abscess|emphysematous pyelitis]], [[Bezoar|fungal bezoars]], [[fungemia]], [[Aspergillosis|fungus balls]], [[herpes zoster]], [[liver abscess]], [[pelvic inflammatory disease]], [[Kidney abscess|perinephric abscess]], [[poststreptococcal glomerulonephritis]], [[psoas abscess]], [[Kidney abscess|renal abscess]], [[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|renal mucormycosis]], [[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|renal zygomycosis]], [[urinary tract infection]], [[Urinary tract infection natural history, complications and prognosis|urosepsis]], [[Tuberculosis|urogenital tuberculosis]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Musculoskeletal/Orthopedic''' | |||
|bgcolor="Beige"| [[Muscle spasm|Abdominal muscle spasm]], [[Muscle strain|abdominal muscle strain]], [[Abdominal trauma|abdominal muscle tear]], [[disc disease]], [[Back pain|referred pain from back]], [[Arthritis|spinal arthritis]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Neurologic''' | |||
|bgcolor="Beige"| [[Neuralgia]], [[neurogenic bladder]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Nutritional/Metabolic''' | |||
|bgcolor="Beige"| [[Acute uric acid nephropathy]], [[xanthine oxidase deficiency]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Obstetric/Gynecologic''' | |||
|bgcolor="Beige"| [[Adnexitis]], [[ectopic pregnancy]], [[endometriosis]], [[Complications of pregnancy#Flank pain|outwards pressure on the ribs from the growing uterus]], [[ovarian cyst]], [[ovarian torsion]], [[ovarian tumor]], [[pelvic inflammatory disease]], [[Surgery|pelvic surgery]], [[polyembryoma]], [[Complications of pregnancy#Flank pain|stretching of tissues around the uterus]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Oncologic''' | |||
|bgcolor="Beige"| [[Adrenocortical carcinoma]], [[angiomyolipoma]], [[Colorectal cancer|ascending colon carcinoma]], [[bladder carcinoma]], [[Renal cell carcinoma|collecting duct carcinoma]], [[colon carcinoma]], [[oncocytoma]], [[ovarian tumor]], [[polyembryoma]], [[renal cell carcinoma]], [[transitional cell carcinoma]], [[Wilms tumor]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Ophthalmologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Overdose/Toxicity''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Psychiatric''' | |||
|bgcolor="Beige"| [[Somatoform disorder]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Pulmonary''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Renal/Electrolyte''' | |||
|bgcolor="Beige"| [[Renal cortical necrosis|Acute cortical necrosis]], [[acute kidney injury]], [[Nephritis|acute nephritis]], [[Renal papillary necrosis|acute papillary necrosis]], [[acute pyelonephritis]], [[acute tubular necrosis]], [[acute uric acid nephropathy]], [[Alport's syndrome]], [[angiomyolipoma]], [[bladder carcinoma]], [[calix diverticulum]], [[Renal cell carcinoma|collecting duct carcinoma]], [[Acute renal failure|crystal induced acute kidney injury]], [[Interstitial nephritis|drug induced interstitial nephritis]], [[ectopic ureter]], [[Kidney abscess|emphysematous pyelitis]], [[fibromuscular dysplasia]], [[glomerulonephritis]], [[hydronephrosis]], [[hypercalciuria]], [[IgA nephropathy]], [[Penile prosthesis#Disadvantages|Infected penile prosthesis]], [[loin pain hematuria syndrome]], [[malakoplakia]], [[megaureter]], [[nephrolithiasis]], [[nephroptosis]], [[nephrostomy]], [[neurogenic bladder]], [[obstructive uropathy]], [[paroxysmal nocturnal haemoglobinuria]], [[Kidney abscess|perinephric abscess]], [[polycystic kidney disease]], [[Renal transplantation#Complications|post renal transplantation]], [[posterior urethral valves]], [[poststreptococcal glomerulonephritis]], [[reflux nephropathy]], [[Kidney abscess|renal abscess]], [[Aneurysm|renal artery aneurysm]], [[Dissection (medical)|renal artery dissection]], [[renal cell carcinoma]], [[renal cyst]], [[Renal cyst|renal cyst infection]], [[Renal cyst|renal cyst rupture or hemorrhage]], [[Renal ectopia|renal dystopia]], [[renal infarction]], [[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|Renal mucormycosis]], [[renal papillary necrosis]], [[Abdominal trauma|renal trauma]], [[renal vein thrombosis]], [[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|renal zygmycosis]], [[thin basement membrane nephropathy]], [[transitional cell carcinoma]], [[tubulointerstitial nephritis]], [[ureteropelvic junction obstruction]], [[urinary tract infection]], [[Tuberculosis|urogenital tuberculosis]], [[urolithiasis]], [[Urinary tract infection natural history, complications and prognosis|urosepsis]], [[Wilms' tumor]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Rheumatology/Immunology/Allergy''' | |||
|bgcolor="Beige"| [[Nephritis|Acute nephritis]], [[Alport's syndrome]], [[Ormond's disease]], [[paroxysmal nocturnal haemoglobinuria]], [[Renal transplantation#Complications|post renal transplantation]], [[poststreptococcal glomerulonephritis]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Sexual''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Trauma''' | |||
|bgcolor="Beige"| [[Muscle strain|Abdominal muscle strain]], [[Abdominal trauma|abdominal muscle tear]], [[Abdominal trauma|perforation of a viscus]], [[Abdominal trauma|renal trauma]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Urologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Miscellaneous''' | |||
|bgcolor="Beige"| [[Exercise]], [[lymphangioma]], [[multifocal fibrosclerosis]], [[retroperitoneal fibrosis]], [[retroperitoneal hematoma]], [[tuberous sclerosis]] | |||
|- | |||
|} | |||
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font> | |||
===Causes in Alphabetical Order=== | |||
{{col-begin|width=80%}} | |||
{{col-break|width=33%}} | |||
*[[Muscle spasm|Abdominal muscle spasm]] | |||
*[[Muscle strain|Abdominal muscle strain]] | |||
*[[Abdominal trauma|Abdominal muscle tear]] | |||
*[[Acute cholecystitis]] | |||
*[[Renal cortical necrosis|Acute cortical necrosis]] | |||
*[[Acute kidney injury]] | |||
*[[Nephritis|Acute nephritis]] | |||
*[[Renal papillary necrosis|Acute papillary necrosis]] | |||
*[[Acute pyelonephritis]] | |||
*[[Acute tubular necrosis]] | |||
*[[Acute uric acid nephropathy]] | |||
*[[Adnexitis]] | |||
*[[Adrenal hemorrhage]] | |||
*[[Adrenocortical carcinoma]] | |||
*[[Alport's syndrome]] | |||
*[[Angiomyolipoma]] | |||
*[[Appendicitis history and symptoms#Atypical Symptoms|Appendicitis during pregnancy]] | |||
*[[Arteriovenous malformation]] | |||
*[[Colorectal cancer|Ascending colon carcinoma]] | |||
*[[Atheroemboli]] | |||
*[[Bilharziosis]] | |||
*[[Biliary colic]] | |||
*[[Bladder carcinoma]] | |||
*[[Calix diverticulum]] | |||
*[[Candidemia]] | |||
*[[Cholangitis]] | |||
*[[Cholelithiasis]] | |||
*[[Coagulopathy]] | |||
*[[Colitis]] | |||
*[[Renal cell carcinoma|Collecting duct carcinoma]] | |||
*[[Colon carcinoma]] | |||
*[[Acute renal failure|Crystal induced acute kidney injury]] | |||
*[[Disc disease]] | |||
*[[Interstitial nephritis|Drug induced interstitial nephritis]] | |||
*[[Echinococcosis]] | |||
*[[Ectopic pregnancy]] | |||
*[[Ectopic ureter]] | |||
*[[Kidney abscess|Emphysematous pyelitis]] | |||
*[[Endometriosis]] | |||
*[[Exercise]] | |||
*[[Fibromuscular dysplasia]] | |||
{{col-break|width=33%}} | |||
*[[Bezoar|Fungal bezoars]] | |||
*[[Fungemia]] | |||
*[[Aspergillosis|Fungus balls]] | |||
*[[Gall stones]] | |||
*[[Gallbladder empyema]] | |||
*[[Glomerulonephritis]] | |||
*[[Hepatitis]] | |||
*[[Hepatomegaly]] | |||
*[[Herpes zoster]] | |||
*[[Hydronephrosis]] | |||
*[[Hypercalciuria]] | |||
*[[Hypertensive emergency]] | |||
*[[Hypertensive urgency]] | |||
*[[IgA nephropathy]] | |||
*[[Penile prosthesis#Disadvantages|Infected penile prosthesis]] | |||
*[[Inflammatory bowel disease]] | |||
*[[Ischemic colitis]] | |||
*[[Liver abscess]] | |||
*[[Loin pain hematuria syndrome]] | |||
*[[Lymphangioma]] | |||
*[[Malakoplakia]] | |||
*[[Megaureter]] | |||
*[[Multifocal fibrosclerosis]] | |||
*[[Nephrolithiasis]] | |||
*[[Nephroptosis]] | |||
*[[Nephrostomy]] | |||
*[[Neuralgia]] | |||
*[[Neurogenic bladder]] | |||
*[[Obstructive uropathy]] | |||
*[[Oncocytoma]] | |||
*[[Ormond's disease]] | |||
*[[Complications of pregnancy#Flank pain|Outwards pressure on the ribs from the growing uterus]] | |||
*[[Ovarian cyst]] | |||
*[[Ovarian torsion]] | |||
*[[Ovarian tumor]] | |||
*[[Paroxysmal nocturnal haemoglobinuria]] | |||
*[[Pelvic inflammatory disease]] | |||
*[[Surgery|Pelvic surgery]] | |||
*[[Abdominal trauma|Perforation of a viscus]] | |||
*[[Kidney abscess|Perinephric abscess]] | |||
*[[Polycystic kidney disease]] | |||
{{col-break|width=33%}} | |||
*[[Polyembryoma]] | |||
*[[Renal transplantation#Complications|Post renal transplantation]] | |||
*[[Posterior urethral valves]] | |||
*[[Poststreptococcal glomerulonephritis]] | |||
*[[Psoas abscess]] | |||
*[[Back pain|Referred pain from back]] | |||
*[[Reflux nephropathy]] | |||
*[[Kidney abscess|Renal abscess]] | |||
*[[Aneurysm|Renal artery aneurysm]] | |||
*[[Dissection (medical)|Renal artery dissection]] | |||
*[[Renal cell carcinoma]] | |||
*[[Renal cyst]] | |||
*[[Renal cyst|Renal cyst infection]] | |||
*[[Renal cyst|Renal cyst rupture or hemorrhage]] | |||
*[[Renal ectopia|Renal dystopia]] | |||
*[[Renal infarction]] | |||
*[[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|Renal mucormycosis]] | |||
*[[Renal papillary necrosis]] | |||
*[[Abdominal trauma|Renal trauma]] | |||
*[[Renal vein thrombosis]] | |||
*[[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|Renal zygmycosis]] | |||
*[[Retroperitoneal fibrosis]] | |||
*[[Retroperitoneal hematoma]] | |||
*[[Ruptured abdominal aortic aneurysm]] | |||
*[[Sickle cell disease]] | |||
*[[Somatoform disorder]] | |||
*[[Arthritis|Spinal arthritis]] | |||
*[[Complications of pregnancy#Flank pain|Stretching of tissues around the uterus]] | |||
*[[Thin basement membrane nephropathy]] | |||
*[[Thromboembolism|Thromboemboli]] | |||
*[[Transitional cell carcinoma]] | |||
*[[Tuberous sclerosis]] | |||
*[[Tubulointerstitial nephritis]] | |||
*[[Ureteropelvic junction obstruction]] | |||
*[[Urinary tract infection]] | |||
*[[Tuberculosis|Urogenital tuberculosis]] | |||
*[[Urolithiasis]] | |||
*[[Urinary tract infection natural history, complications and prognosis|Urosepsis]] | |||
*[[Vesicoureteral reflux]] | |||
*[[Wilms' tumor]] | |||
*[[Xanthine oxidase deficiency]] | |||
{{col-end}} | |||
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font> | |||
==References== | |||
{{Reflist|2}} | |||
{{WikiDoc Help Menu}} | |||
{{WikiDoc Sources}} | |||
[[Category:Crowdiagnosis]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Gynecology]] | |||
[[Category:Medicine]] | |||
[[Category:Surgery]] | |||
[[Category:Up-To-Date]] |
Latest revision as of 20:50, 29 July 2020
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Resident Survival Guide |
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Abdominal pain Microchapters |
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Abdominal pain On the Web |
American Roentgen Ray Society Images of Abdominal pain |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vendhan Ramanujam M.B.B.S [2]
Overview
Right flank pain is a sensation of discomfort, distress or agony in the right side of the abdomen below the rib and above the ilium, generally beginning posteriorly or in the midaxillary line. It usually arises from the right kidney, its capsule or the right ureter. Similar pain is sometimes caused by extraurinary abnormalities.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
- Acute tubular necrosis
- Ischemic colitis
- Ovarian torsion
- Renal abscess
- Renal artery dissection
- Renal cyst rupture or hemorrhage
- Ruptured abdominal aortic aneurysm
- Renal vein thrombosis
Causes of right flank pain developed by WikiDoc.org
Common Causes
- Abdominal muscle spasm
- Acute pyelonephritis
- Nephrolithiasis
- Polycystic kidney disease
- Renal cyst
- Urinary tract infection[1][2][3]
Causes of right flank pain developed by WikiDoc.org
Causes by Organ System
Causes of right flank pain developed by WikiDoc.org
Causes in Alphabetical Order
Causes of right flank pain developed by WikiDoc.org
References
- ↑ Wolffram, S.; Bisang, B.; Grenacher, B.; Scharrer, E. (1990). "Transport of tri- and dicarboxylic acids across the intestinal brush border membrane of calves". J Nutr. 120 (7): 767–74. PMID 2366111. Unknown parameter
|month=
ignored (help) - ↑ Christodoulidou, M.; Thomas, M.; Sharma, SD. (2012). "Hydronephrosis and loin pain as a presentation of tubo-ovarian abscess developing after Mirena coil removal". BMJ Case Rep. 2012. doi:10.1136/bcr-03-2012-6108. PMID 22865801.
- ↑ Smith, HS.; Bajwa, ZH. (2012). "Loin pain hematuria syndrome-visceral or neuropathic pain syndrome?". Clin J Pain. 28 (7): 646–51. doi:10.1097/AJP.0b013e31823d47f3. PMID 22699133. Unknown parameter
|month=
ignored (help)