Causes of left upper quadrant abdominal pain: Difference between revisions

Jump to navigation Jump to search
Mugilan Poongkunran (talk | contribs)
No edit summary
WikiBot (talk | contribs)
m Bot: Removing from Primary care
 
(55 intermediate revisions by 3 users not shown)
Line 4: Line 4:
| [[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;"
|-
| [[File:Critical_Pathways.gif|88px|link=Abdominal pain critical pathways]]|| <br> || <br>
|}
|}
{{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===
*List the life-threatening causes here.<font color="white">Causes of {{PAGENAME}} developed by WikiDoc.org, Copyleft 2013. Redistribution without attribution prohibited by law.</font>
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]]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]]
*[[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===
{|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" | No underlying causes
|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"| No underlying causes
|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"
Line 45: Line 73:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Dermatologic'''
| '''Dermatologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Scarlet fever]], [[scleroderma]], [[shingles]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| No underlying causes
|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"
Line 57: Line 85:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
| '''Endocrine'''
|bgcolor="Beige"| No underlying causes
|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"
| '''Environmental'''
| '''Environmental'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Organophosphate poisoning]], [[saw palmetto]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| No underlying causes
|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"| No underlying causes
|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"| No underlying causes
|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"| No underlying causes
|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"| No underlying causes
|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"| No underlying causes
|bgcolor="Beige"| [[Rib fracture]], [[polymyositis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
| '''Neurologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Meckel syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Nutritional/Metabolic'''
| '''Nutritional/Metabolic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Carbohydrate-deficient glycoprotein syndrome]], [[cystinuria]], [[Gaucher Disease]], [[homocystinuria]], [[hyperuricaemia]], [[oxalosis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Eclampsia]], [[endometriosis]], [[gestational trophoblastic disease]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"| No underlying causes
|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"
Line 109: Line 137:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Overdose/Toxicity'''
| '''Overdose/Toxicity'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[cocaine|Cocaine overdose]], [[contrast agents]], [[fentanyl toxicity]], [[steroid abuse]], [[tramadol toxicity]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Bulimia nervosa]], [[intestinal pseudo-obstruction]], [[irritable bowel syndrome]], [[stress ulcer]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
|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"| No underlying causes
|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"
| '''Rheumatology/Immunology/Allergy'''
| '''Rheumatology/Immunology/Allergy'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[eosinophilic gastroenteritis|Allergic gastroenteropathy]], [[gastritis|autoimmune gastritis]], [[autoimmune pancreatitis]], [[crohn's disease]], [[cryoglobulinemia]], [[Felty's syndrome]],  [[food intolerance]], [[angioedema|hereditary angio-oedema]], [[pernicious anemia]], [[Reye's syndrome]], [[rheumatoid vasculitis]], [[scarlet fever]], [[systemic lupus erythematosus]], [[systemic vasculitis]], [[ulcerative colitis]], [[Wegener's granulomatosis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Sexual'''
| '''Sexual'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Denys-Drash syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Electrical burns]], [[rib fractures]], [[blunt splenic trauma|splenic laceration and hematoma]], [[rupture spleen|traumatic splenic rupture]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 141: Line 169:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[alcoholism|Alcohol ingestion]], [[chronic constipation]], [[caffeine|excessive caffeine]], [[idiopathic]], [[spicy food]], [[splenosis]]
|-
|-
|}
|}
<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%}}
* Disease A
*[[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%}}
* Disease B
 
*[[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 C
 
<font color="white">Causes of {{PAGENAME}} developed by WikiDoc.org, Copyleft 2013</font>
*[[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]]
{{col-end}}
{{col-end}}
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Gynecology]]
{{Gastroenterology}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
 
[[Category:Crowdiagnosis]]
[[Category:Emergency medicine]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Emergency medicine]]
[[Category:Medicine]]
[[Category:Signs and symptoms]]
[[Category:Primary care]]
[[Category:Surgery]]
[[Category:Surgery]]
[[Category:Needs causes]]
[[Category:Up-To-Date]]
[[Category:Needs overview]]
 
{{WH}}
{{WS}}

Latest revision as of 20:50, 29 July 2020



Resident
Survival
Guide
File:Critical Pathways.gif

Abdominal pain Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

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

Differentiating Abdominal pain from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Abdominal pain On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Google Images

American Roentgen Ray Society Images of Abdominal pain

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Abdominal pain

CDC on Abdominal pain

Abdominal pain in the news

Blogs on Abdominal pain

Directions to Hospitals Treating Abdominal pain

Risk calculators and risk factors for Abdominal pain

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