Epigastric abdominal pain
Revision as of 04:49, 27 October 2014 by Rossdonaldson1 (talk | contribs) (Created page with "==Background== *This page outlines the general approach to RUQ pain ==Clinical Features== ==Differential Diagnosis== {{DDX RUQ}} ==Workup== *CBC *Chem *LFTs *Lipase *Coags...")
Background
- This page outlines the general approach to RUQ pain
Clinical Features
Differential Diagnosis
RUQ Pain
- Gallbladder disease
- Pancreatitis
- Acute hepatitis
- Pancreatitis
- GERD
- Appendicitis (retrocecal)
- Pyogenic liver abscess
- Bowel obstruction
- Cirrhosis
- Budd-Chiari syndrome
- GU
- Other
- Hepatomegaly due to CHF
- Peptic ulcer disease with or without perforation
- Pneumonia
- Herpes zoster
- Myocardial ischemia
- Pulmonary embolism
- Abdominal aortic aneurysm
Workup
- CBC
- Chem
- LFTs
- Lipase
- Coags
- UA
- Urine pregnancy (females)
- ?ECG (if >50 or at risk for cardiac disease)
- ?RUQ US
- ?CXR
- Consider if at risk for perforated ulcer
Management
- Treat underlying disease process
Disposition
- Disposition per underlying disease process