Left upper quadrant abdominal pain: Difference between revisions
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==Background== | ==Background== | ||
*This page outlines the general approach to adult LUQ pain | *This page outlines the general approach to adult LUQ pain | ||
{{Abdominal pain location}} | |||
==Clinical Features== | ==Clinical Features== | ||
| Line 10: | Line 12: | ||
*CBC | *CBC | ||
*Chem | *Chem | ||
*LFTs | *[[LFTs]] | ||
*Lipase | *Lipase | ||
*Coags | *Coags | ||
*[[Urinalysis]] | *[[Urinalysis]] | ||
*Urine pregnancy (females) | *Urine pregnancy (females) | ||
*?ECG (if >50 or at risk for cardiac disease) | *?[[ECG]] (if >50 or at risk for cardiac disease) | ||
*?[[RUQ US]] | *?[[RUQ US]] | ||
*?CXR | *?[[CXR]] | ||
**Consider if at risk for perforated ulcer | **Consider if at risk for perforated ulcer | ||
==Management== | ==Management== | ||
*Treat underlying disease process | *Treat underlying disease process | ||
*Consider GI cocktail | *Consider GI cocktail ([[Bismuth subsalicylate|Maalox]] Plus/[[Lidocaine]] Viscous 2%/Donnatol) | ||
==Disposition== | ==Disposition== | ||
Latest revision as of 22:38, 31 January 2024
Background
- This page outlines the general approach to adult LUQ pain
Classification by Abdominal pain location
| RUQ pain | Epigastric pain | LUQ pain |
| Flank pain | Diffuse abdominal pain | Flank pain |
| RLQ pain | Pelvic pain | LLQ pain |
Clinical Features
Differential Diagnosis
Left upper quadrant abdominal pain
- GERD
- Peptic ulcer disease with or without perforation
- Pancreatitis
- Splenic infarction/Splenic artery aneurysm rupture
- Pyelonephritis
- Bowel obstruction
- Myocardial Ischemia
- Pneumonia
- Pulmonary embolism
- Herpes zoster
- Pericarditis/Myocarditis
- Aortic Dissection
Workup
- CBC
- Chem
- LFTs
- Lipase
- Coags
- Urinalysis
- Urine pregnancy (females)
- ?ECG (if >50 or at risk for cardiac disease)
- ?RUQ US
- ?CXR
- Consider if at risk for perforated ulcer
Management
Disposition
- Disposition per underlying disease process