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* Pneumonia
* Bronchiolitis
* Bronchospasm (e.g. asthma)
* Pulmonary hypertension
* Pulmonary embolism
* Hypoventilation
* Chronic obstructive pulmonary disease, or COPD (emphysema)
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| <figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Right_upper_quadrant.PNG|link=Right upper quadrant abdominal pain resident survival guide|339x339px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Epigastric_quadrant_pain.PNG|link=Epigastric pain resident survival guide|179x179px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Left_upper_quadrant.PNG|link=Left upper quadrant abdominal pain resident survival guide|329x329px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>  
| <figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Right_upper_quadrant.PNG|link=Right upper quadrant abdominal pain resident survival guide|339x339px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Epigastric_quadrant_pain.PNG|link=Epigastric pain resident survival guide|179x179px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Left_upper_quadrant.PNG|link=Left upper quadrant abdominal pain resident survival guide|329x329px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>  
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| <figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Right_flank_quadrant.PNG|link=Right flank pain resident survival guide|338x338px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Umbilical_pain.PNG|link=Umbilical region pain resident survival guide|165x165px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Left_flank_quadrant.PNG|link=Left flank quadrant abdominal pain resident survival guide|335x335px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>
| <figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Right_flank_quadrant.PNG|link=Right flank pain resident survival guide|338x338px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Umbilical_pain.PNG|link=Umbilical region pain resident survival guide|165x165px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Left_flank_quadrant.PNG|link=Left flank quadrant abdominal pain resident survival guide|335x335px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>
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| <figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Right_lower_quadrant.PNG|link=Right lower quadrant abdominal pain resident survival guide|338x338px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Hypogastric.PNG|link=Hypogastric pain resident survival guide|199x199px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Left_lower_quadrant.PNG|link=Left lower quadrant abdominal pain resident survival guide|335x335px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>
| <figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Right_lower_quadrant.PNG|link=Right lower quadrant abdominal pain resident survival guide|338x338px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Hypogastric.PNG|link=Hypogastric pain resident survival guide|199x199px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[Image:Left_lower_quadrant.PNG|link=Left lower quadrant abdominal pain resident survival guide|335x335px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline>
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Revision as of 17:23, 9 February 2018


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]

Differential diagnosis

Abbreviations: RUQ= Right upper quadrant of the abdomen,

Type of cyanosis Disease Clinical manifestations/association Diagnosis Comments
Symptoms Signs
Amount Fever Chest pain Weight loss Lab Findings Imaging
Central cyanosis Respiratory + +
+ − − − − −
+ + − − − −
+ + + ± − −
− ± + − − −
− + + − − −
Disease Fever Weight loss Lab Findings Imaging Comments
  • Pneumonia
  • Bronchiolitis
  • Bronchospasm (e.g. asthma)
  • Pulmonary hypertension
  • Pulmonary embolism
  • Hypoventilation
  • Chronic obstructive pulmonary disease, or COPD (emphysema)
 − − − − − −
+ − − − − −
± ± − − − −
± + +
Disease Fever Weight loss Guarding Lab Findings Imaging Comments
± + − − −
− ± − − − −
− ± + − − −
− + + ± − −
+ - − + +
− + + + − −
Cardiovascular Disease Fever Weight loss Lab Findings Imaging Comments
+ + − + +
+ + − + +
± − + − − −
− − + − − − Normal Normal
± − + ± − −
Disease Fever Weight loss Lab Findings Imaging Comments
+ − − + ± +
+ − + − − −
− − + − − −
+ ± − ± ±
Disease Fever Weight loss Lab Findings Imaging Comments
− − + ± − −
Central Nervous system + + + +
+ + + + + ±
+ − + − − −
Disease Fever Lab Findings Imaging Comments
± − − − − −
− − − − − −
− − + + − −
Disease Weight loss Lab Findings Imaging Comments
Hematology + − − ± + +
Miscellaneous
Peripheral cyanosis Respiratory + + −
+ + + + + +
Cardiovascular ± + + + − −
± ± − + − −
Disease Fever Lab Findings Imaging Comments
Miscellaneous − + − − ± ±
+ − − − ± ±
− + − + ± ±
− + − + + +
P Pleural empyema RUQ/Epigastric + − + − − − Chest X-ray
  • Pleural opacity
  • Localization of effusion
 Physical examination
Pulmonary embolism RUQ/LUQ ± − − ± − −
  • ABGs
  • D-dimer
  • Dyspnea
  • Tachycardia
  • Pleuretic chest pain
Pneumonia RUQ/LUQ + + − + − −
  • ABGs
  • Leukocytosis
  • Pancytopenia
  • CXR
  • CT chest
  • Bronchoscopy
  • Shortness of breath
  • Cough
Peripheral cyanosis ± + − − −
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