Causes of right upper quadrant abdominal pain: Difference between revisions
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{{Abdominal pain}} | {{Abdominal pain}} | ||
{{CMG}}; {{ | {{CMG}}; {{AE}} {{VR}} | ||
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==Overview== | ==Overview== | ||
Acute right upper quadrant abdominal pain usually arises from the [[liver]] and the [[biliary tree]]. [[Gallstone diseases]] are among the most common causes of right upper quadrant abdominal pain; hence, an emphasis is first laid on the gallstone diseases while approaching the patient. | |||
==Causes | ==Causes== | ||
===Life Threatening Causes=== | |||
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | |||
= | *[[Adrenal hemorrhage]] | ||
*[[Cholecystitis natural history, complications and prognosis#Gallbladder perforation|Gallbladder perforation]] | |||
*[[Cholecystitis natural history, complications and prognosis#Gangrenous cholecystitis|Gangrenous cholecystitis]] | |||
*[[Ischemic colitis]] | |||
*[[Peptic ulcer natural history|Peptic ulcer perforation]] | |||
*[[Pulmonary embolism]] | |||
*[[Hepatitis|Toxin induced hepatitis]] | |||
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===Common Causes=== | ===Common Causes=== | ||
*[[ | *[[Cholangitis]] | ||
*[[Cholecystitis]] | *[[Cholecystitis]] | ||
*[[Choledocholithiasis]] | *[[Choledocholithiasis]] | ||
*[[Liver abscess|Hepatic abscess]] | *[[Liver abscess|Hepatic abscess]] | ||
*[[Hepatitis]] | *[[Hepatitis]] | ||
*[[Pancreatitis]] | *[[Pancreatitis]] | ||
*[[Peptic ulcer]] | *[[Peptic ulcer disease]] | ||
*[[Pleuritis]] | *[[Pleuritis]] | ||
*[[ | *[[Pneumonia]] | ||
*[[Renal colic| | *[[Renal colic]]<ref>{{Cite journal | last1 = Haberman | first1 = D. | last2 = Castignola | first2 = M. | last3 = Martínez | first3 = A. | last4 = Paladini | first4 = H. | last5 = Toda | first5 = M. | last6 = Baldessari | first6 = EM. | last7 = Ramisch | first7 = D. | last8 = Gondolesi | first8 = G. | title = [Acute abdomen with right hypochondrial pain: an unusual cause]. | journal = Acta Gastroenterol Latinoam | volume = 41 | issue = 4 | pages = 276, 357-8 | month = Dec | year = 2011 | doi = | PMID = 22292219 }}</ref> | ||
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===Causes by Organ System=== | ===Causes by Organ System=== | ||
{|style="width: | {|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" | | |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Congestive heart failure]], [[ischemic colitis]], [[myocarditis]], [[veno-occlusive disease]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Dermatologic''' | | '''Dermatologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Herpes zoster]], [[polymyositis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Cholecystitis]], [[duodenal ulcer]] | ||
|- | |- | ||
|-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]], [[constipation]], [[pheochromocytoma]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Environmental''' | | '''Environmental''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Heat stroke]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Gastroenterologic''' | | '''Gastroenterologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Acute cholecystitis]], [[Fatty liver|acute fatty liver]], [[acute hepatitis]], [[acute pancreatitis]], [[ascending cholangitis]], [[Appendicitis|ascending retrocecal appendicitis]], [[Appendicitis|atypical acute appendicitis]], [[biliary colic]], [[biliary dyskinesia]], [[Budd-Chiari syndrome]], [[cholecystitis]], [[choledocholithiasis]], [[colitis]], [[congestive heart failure]], [[constipation]], [[Crohn's disease]], [[diverticulosis]], [[duodenal ulcer]], [[dyspepsia]], [[Cholecystitis natural history, complications and prognosis|gallbladder perforation]], [[gallstone disease]], [[Pancreatitis|gallstone pancreatitis]], [[Cholecystitis natural history, complications and prognosis#Gangrenous cholecystitis|gangrenous cholecystitis]], [[gastroenteritis]], [[hepatic abscess]], [[Colorectal cancer|hepatic flexure carcinoma]], [[hepatic tumor]], [[hepatomegaly]], [[HIV]], [[Hepatomegaly|inflammatory hepatomegaly]], [[irritable bowel syndrome]], [[ischemic colitis]], [[peptic ulcer disease]], [[Fitz-Hugh-Curtis syndrome|perihepatitis]], [[seizures]], [[sepsis]], [[Zollinger-Ellison syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Hematologic''' | | '''Hematologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Budd-Chiari syndrome]], [[choledocholithiasis]], [[hemoglobinopathies]], [[sickle cell disease]], [[veno-occlusive disease]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Iatrogenic''' | | '''Iatrogenic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Hepatectomy|Partial hepatectomy]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Infectious Disease''' | | '''Infectious Disease''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Acute hepatitis]], [[adrenal hemorrhage]], [[Addison's disease|adrenal tuberculosis]], [[ascending cholangitis]], [[colitis]], [[duodenal ulcer]], [[Fitz-Hugh-Curtis syndrome]], [[gastroenteritis]], [[hepatic abscess]], [[herpes zoster]], [[HIV]], [[pelvic inflammatory disease]], [[Fitz-Hugh-Curtis syndrome|perihepatitis]], [[pyelonephritis]], [[sepsis]], [[Abscess|subdiaphragmatic abscess]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Musculoskeletal/Orthopedic''' | | '''Musculoskeletal/Orthopedic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Carnett's test|Abdominal wall pain]], [[Tietze's syndrome|painful rib syndrome]], [[polymyositis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Neurologic''' | | '''Neurologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Seizures]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Nutritional/Metabolic''' | | '''Nutritional/Metabolic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Choledocholithiasis]], [[constipation]], [[diabetic ketoacidosis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Obstetric/Gynecologic''' | | '''Obstetric/Gynecologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Fatty liver|Acute fatty liver]], [[eclampsia]], [[HELLP syndrome]], [[pelvic inflammatory disease]], [[preeclampsia]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Oncologic''' | | '''Oncologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Colorectal cancer|Hepatic flexure carcinoma]], [[hepatic tumor]], [[Kaposi's sarcoma]], [[Hepatocellular carcinoma|malignant infiltration of liver]], [[Adrenal insufficiency|metastatic infiltration of right adrenal gland]], [[pheochromocytoma]], [[renal carcinoma]], [[Zollinger-Ellison syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Pulmonary''' | | '''Pulmonary''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Empyema]], [[pleural effusion]], [[pleurisy]], [[pleuritis]], [[pneumonia]], [[pulmonary embolism]], [[pulmonary infarction]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Renal/Electrolyte''' | | '''Renal/Electrolyte''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Glomerulonephritis]], [[hydronephrosis]], [[pyelonephritis]], [[renal carcinoma]], [[renal colic]], [[renal cyst]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Rheumatology/Immunology/Allergy''' | | '''Rheumatology/Immunology/Allergy''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Addisonian crisis]], [[glomerulonephritis]], [[polymyositis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Trauma''' | | '''Trauma''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Adrenal hemorrhage]], [[Abdominal trauma|collisions]], [[Abdominal trauma|falls]], [[Abdominal trauma|solid organ laceration or perforated viscus]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Miscellaneous''' | | '''Miscellaneous''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Strain (injury)|Heavy exercise]] | ||
|- | |- | ||
|} | |} | ||
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===Causes in Alphabetical Order=== | ===Causes in Alphabetical Order=== | ||
{{col-begin|width= | {{col-begin|width=80%}} | ||
{{col-break|width=33%}} | {{col-break|width=33%}} | ||
*[[Abdominal wall pain]] | *[[Carnett's test|Abdominal wall pain]] | ||
*[[Acute cholecystitis]] | *[[Acute cholecystitis]] | ||
*[[Acute fatty liver]] | *[[Fatty liver|Acute fatty liver]] | ||
*[[Acute hepatitis]] | *[[Acute hepatitis]] | ||
*[[Acute pancreatitis]] | *[[Acute pancreatitis]] | ||
*[[Addisonian crisis]] | *[[Addisonian crisis]] | ||
*[[Adrenal hemorrhage ]] | *[[Adrenal hemorrhage ]] | ||
*[[Adrenal tuberculosis]] | *[[Addison's disease|Adrenal tuberculosis]] | ||
*[[Ascending cholangitis]] | *[[Ascending cholangitis]] | ||
*[[Ascending retrocecal appendicitis]] | *[[Appendicitis|Ascending retrocecal appendicitis]] | ||
*[[Atypical acute appendicitis]] | *[[Appendicitis|Atypical acute appendicitis]] | ||
*[[Biliary colic]] | *[[Biliary colic]] | ||
*[[Biliary dyskinesia]] | *[[Biliary dyskinesia]] | ||
*[[Budd- | *[[Budd-Chiari syndrome]] | ||
*[[Cholecystitis]] | *[[Cholecystitis]] | ||
*[[Choledocholithiasis]] | *[[Choledocholithiasis]] | ||
*[[Colitis]] | *[[Colitis]] | ||
*[[Collisions]] | *[[Abdominal trauma|Collisions]] | ||
*[[Congestive heart failure]] | *[[Congestive heart failure]] | ||
*[[Constipation]] | *[[Constipation]] | ||
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{{col-break|width=33%}} | {{col-break|width=33%}} | ||
*[[Empyema]] | *[[Empyema]] | ||
*[[Falls]] | *[[Abdominal trauma|Falls]] | ||
*[[Fitz- | *[[Fitz-Hugh-Curtis syndrome]] | ||
*[[ | *[[Cholecystitis natural history, complications and prognosis#Gallbladder perforation|Gallbladder perforation]] | ||
*[[Gallstone disease]] | *[[Gallstone disease]] | ||
*[[Gallstone pancreatitis]] | *[[Pancreatitis|Gallstone pancreatitis]] | ||
*[[Cholecystitis natural history, complications and prognosis#Gangrenous cholecystitis|Gangrenous cholecystitis]] | |||
*[[Gastroenteritis]] | *[[Gastroenteritis]] | ||
*[[Glomerulonephritis]] | *[[Glomerulonephritis]] | ||
*[[Heat stroke]] | *[[Heat stroke]] | ||
*[[Heavy exercise]] | *[[Strain (injury)|Heavy exercise]] | ||
*[[HELLP syndrome]] | *[[HELLP syndrome]] | ||
*[[Hemoglobinopathies]] | *[[Hemoglobinopathies]] | ||
*[[Hepatic abscess]] | *[[Hepatic abscess]] | ||
*[[Hepatic flexure carcinoma]] | *[[Colorectal cancer|Hepatic flexure carcinoma]] | ||
*[[Hepatic tumor]] | *[[Hepatic tumor]] | ||
*[[Hepatomegaly]] | *[[Hepatomegaly]] | ||
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*[[HIV]] | *[[HIV]] | ||
*[[Hydronephrosis]] | *[[Hydronephrosis]] | ||
*[[Inflammatory hepatomegaly]] | *[[Hepatomegaly|Inflammatory hepatomegaly]] | ||
*[[Irritable bowel syndrome]] | *[[Irritable bowel syndrome]] | ||
*[[Ischemic colitis]] | *[[Ischemic colitis]] | ||
*[[Kaposis sarcoma]] | *[[Kaposis sarcoma]] | ||
*[[Malignant infiltration of liver]] | *[[Hepatocellular carcinoma|Malignant infiltration of liver]] | ||
*[[Metastatic infiltration of adrenal gland]] | *[[Adrenal insufficiency|Metastatic infiltration of right adrenal gland]] | ||
{{col-break|width=33%}} | |||
*[[Myocarditis]] | *[[Myocarditis]] | ||
*[[Tietze's syndrome|Painful rib syndrome]] | |||
*[[Painful rib syndrome]] | *[[Hepatectomy|Partial hepatectomy]] | ||
*[[Partial hepatectomy]] | |||
*[[Pelvic inflammatory disease]] | *[[Pelvic inflammatory disease]] | ||
*[[Peptic ulcer disease]] | *[[Peptic ulcer disease]] | ||
*[[Perihepatitis]] | *[[Fitz-Hugh-Curtis syndrome|Perihepatitis]] | ||
*[[Pheochromocytoma]] | *[[Pheochromocytoma]] | ||
*[[Pleural effusion]] | *[[Pleural effusion]] | ||
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*[[Sepsis]] | *[[Sepsis]] | ||
*[[Sickle cell disease]] | *[[Sickle cell disease]] | ||
*[[Solid organ laceration or perforated viscus]] | *[[Abdominal trauma|Solid organ laceration or perforated viscus]] | ||
*[[Subdiaphragmatic abscess]] | *[[Abscess|Subdiaphragmatic abscess]] | ||
*[[Veno-occlusive disease]] | *[[Veno-occlusive disease]] | ||
*[[Zollinger- | *[[Zollinger-Ellison syndrome]] | ||
{{col-end}} | {{col-end}} | ||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{Gastroenterology}} | |||
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{{WikiDoc Sources}} | |||
[[Category:Crowdiagnosis]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Gynecology]] | [[Category:Gynecology]] | ||
[[Category: | [[Category:Medicine]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
[[Category: | [[Category:Up-To-Date]] | ||
Latest revision as of 20:50, 29 July 2020
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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
Acute right upper quadrant abdominal pain usually arises from the liver and the biliary tree. Gallstone diseases are among the most common causes of right upper quadrant abdominal pain; hence, an emphasis is first laid on the gallstone diseases while approaching the patient.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
- Adrenal hemorrhage
- Gallbladder perforation
- Gangrenous cholecystitis
- Ischemic colitis
- Peptic ulcer perforation
- Pulmonary embolism
- Toxin induced hepatitis
Causes of right upper quadrant abdominal pain developed by WikiDoc.org
Common Causes
- Cholangitis
- Cholecystitis
- Choledocholithiasis
- Hepatic abscess
- Hepatitis
- Pancreatitis
- Peptic ulcer disease
- Pleuritis
- Pneumonia
- Renal colic[1]
Causes of right upper quadrant abdominal pain developed by WikiDoc.org
Causes by Organ System
Causes of right upper quadrant abdominal pain developed by WikiDoc.org
Causes in Alphabetical Order
Causes of right upper quadrant abdominal pain developed by WikiDoc.org