Left upper quadrant abdominal pain: Difference between revisions
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==Management== | ==Management== | ||
*Treat underlying disease process | *Treat underlying disease process | ||
*Consider GI cocktail | *Consider GI cocktail (Maalox Plus/Lidocaine Viscous 2%/Donnatol) | ||
==Disposition== | ==Disposition== | ||
Revision as of 06:07, 9 October 2017
Background
- This page outlines the general approach to adult LUQ 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
- Treat underlying disease process
- Consider GI cocktail (Maalox Plus/Lidocaine Viscous 2%/Donnatol)
Disposition
- Disposition per underlying disease process