Causes of left upper quadrant abdominal pain: Difference between revisions

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{{Abdominal pain}}
{{Abdominal pain}}

Revision as of 03:42, 7 August 2013
Resident
Survival
Guide
File:Physician Extender Algorithms.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

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Other Diagnostic Studies

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Primary Prevention

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Risk calculators and risk factors for Abdominal pain

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Mugilan Poongkunran M.B.B.S [2]

Overview

Left upper quadrant (LUQ) pain may originate from the chest, diaphragm, abdomen, peritoneum or general medical conditions. 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.

Causes of Left Upper Quadrant Abdominal pain

Life Threatening Causes

Common Causes

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, heavy metals, iron poisoning, lead poisoning, mercury poisoning, methanol, organophosphate poisoning, saw palmetto, scorpion sting, silver poisoning, toxic mushrooms
Dental No underlying causes
Dermatologic Scarlet fever, scleroderma
Drug Side Effect Aspirin, atorvastatin, azathioprine, cerivastatin, colchicine, cyclosporin, diclofenac, didanosine, estrogen, fentanyl toxicity, fluvastatin, furosemide, hydroxyurea, ibuprofen, indomethacin, L-asparaginase, malignant hyperthermia, mercaptopurine, methotrexate, metronidazole, naproxen, 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, vitamin D toxicity, warfarin, zalcitabine
Ear Nose Throat No underlying causes
Endocrine Carcinoid, ketoacidosis, MODY syndrome, multiple endocrine neoplasia type 1, Zollinger-Ellison syndrome
Environmental Organophosphate poisoning, saw palmetto
Gastroenterologic Abdominal compartment syndrome, acinic cell carcinoma, acute pancreatitis, acute diverticulitis, atraumatic splenic rupture, autoimmune gastritis, autoimmune pancreatitis, Bannayan-Zonana syndrome, bile reflux disease, bulimia nervosa, celiac disease, chronic constipation, collagenous colitis, colon cancer, colonic lymphoma, hereditary spherocytosis, congestive splenomegaly, Crohn's disease, 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 (types I, IV, V), intestinal lymphangiectasia, intestinal pseudo-obstruction, intussusception, irritable bowel syndrome, ischemic colitis, islet cell adenoma, malignant peritoneal mesothelioma, Ménétrier's disease, milk-alkali syndrome, pancreatic cystic neoplasms, pancreatic tail cancer, peptic ulcer disease, perforated gastric ulcer, peritonitis, pernicious anemia, Peutz-Jeghers syndrome, polycystic kidney disease with splenic cysts, porphyria, pseudocysts cystic splenosis, scarlet fever, scleroderma, somatostatinoma, splenic abscess, splenic hematoma and laceration, splenic infarction, splenic lymphoma, splenosis, stress ulcer, subphrenic abscess, traumatic splenic rupture, typhoid fever, ulcerative colitis, viral gastroenteritis, visceral hamartoma, visceral hemangioma, volvulus, wandering spleen syndrome, Zollinger-Ellison syndrome
Genetic Alpha-1-antitrypsin deficiency, Alport syndrome, apolipoprotein C deficiency, beta thalassemia major, colon atresia, cystic fibrosis, cystinuria, Dent's disease, familial adenomatous polyposis, Gaucher disease, hereditary angio-oedema, homocystinuria, hyperlipidemia (types I, IV, V), Meckel syndrome, polycystic kidney disease with splenic cysts, porphyria, primary hyperoxaluria, sickle cell anemia, tuberous sclerosis, Turner syndrome, von Hippel-Lindau Disease, WAGR syndrome, Williams syndrome
Hematologic Acquired hemolytic anemia, antiphospholipid syndrome, beta thalassemia major, chronic lymphocytic leukemia, chronic myeloid leukemia, hereditary spherocytosis, cryoglobulinemia, essential thrombocytosis, hairy cell leukemia, lymphoma, MALT lymphoma, mastocytosis, myelofibrosis, myoglobinuria , plasma cell leukemia, polycythemia vera, porphyria, Sézary syndrome, sickle cell anemia, 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 and nasoenteric tubes, pancreaticoduodenectomy (Whipple procedure), percutaneous abdominal biopsy, peritoneal dialysis, post-ERCP perforation, post-traumatic cysts, precut (access) papillotomy, radiation therapy, referred pain, splenic artery embolization, vitamin D toxicity
Infectious Disease AIDS-associated nephropathy, amebic dysentery, ascariasis, babesiosis, bacillary dysentery, botryomycosis, brucellosis, campylobacter jejuni, candidiasis, cytomegalovirus, giardiasis, Helicobacter pylori infection, histoplasmosis, hydatid (echinococcal) cysts, infectious mononucleosis, infective endocarditis, inflammatory pleural effusions, intestinal worm infestation, kala-azar (visceral leishmaniasis), [[malaria], mediterranean spotted fever, miliary tuberculosis, mumps, peritonitis, pneumonia, post streptococcal glomerulonephritis, psittacosis, purulent pericarditis, pyelonephritis, renal abscess, perinephric abscess, renal mucormycosis, mycobacterium avium complex, renal tuberculosis, shingles, splenic abscess, staphylococcal toxic shock syndrome, streptococcal toxic shock syndrome, subphrenic abscess, traveler's diarrhea, tropical splenomegaly syndrome, typhoid fever, vibrio parahaemolyticus, viral gastroenteritis, viral hemorrhagic fevers, Weil syndrome, yellow fever
Musculoskeletal/Orthopedic Gout
Neurologic Meckel syndrome
Nutritional/Metabolic Carbohydrate-deficient glycoprotein syndrome, cystinuria, Gaucher Disease, homocystinuria, hyperuricaemia, oxalosis
Obstetric/Gynecologic Eclampsia, endometriosis, gestational trophoblastic disease
Oncologic Acinic cell carcinoma, 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, islet cell adenoma, malignant peritoneal mesothelioma, MALT lymphoma, mastocytosis, Ménétrier's disease, myelofibrosis, pancreatic tail cancer, Peutz-Jeghers syndrome, plasma cell leukemia, polycythemia vera, renal angiosarcoma, renal cell carcinoma, Sézary syndrome, somatostatinoma, splenic lymphoma, 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 Alpha-1-antitrypsin deficiency, cystic fibrosis, empyema, Goodpasture syndrome, inflammatory pleural effusions, pneumonia, pulmonary arteriovenous malformations, pulmonary embolism, pulmonary infarction, systemic lupus erythematosus, Wegener's granulomatosis
Renal/Electrolyte 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 with splenic cysts, post streptococcal glomerulonephritis, pyelonephritis, reflux nephropathy, perinephric abscess, renal angiosarcoma, renal cell carcinoma, renal mucormycosis, renal tuberculosis, renal tubular acidosis, scleroderma, systemic lupus erythematosus, tuberous sclerosis, tubulointerstitial nephritis, Turner syndrome, urinary outflow obstruction, vesicoureteral reflux, 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, Turner syndrome
Trauma Electrical burns, rib fractures, splenic hematoma and laceration, traumatic splenic rupture
Urologic No underlying causes
Miscellaneous Alcohol ingestion, chronic constipation, excessive caffeine, idiopathic, spicy food, splenosis

Causes by Organ System developed by WikiDoc.org, Copyleft 2013

Causes in Alphabetical Order

References

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