Right lower quadrant abdominal pain
Background
- This page describes the general approach to RLQ pain in adults
Differential Diagnosis
RLQ Pain
- Appendicitis
- Abdominal aortic aneurysm
- Crohn's disease (terminal ileitis)
- Diverticulitis (cecal, Asian patients)
- Ectopic
- Endometriosis
- Epiploic appendagitis
- Herpes zoster
- Inguinal hernia
- Ischemic colitis
- Kidney stone
- Meckel's diverticulum
- Mesenteric lymphadenitis
- Mittelschmerz
- Neutropenic enterocolitis (typhlitis)
- Ovarian cyst
- Ovarian torsion
- PID
- Pyelonephritis
- Psoas abscess
- Testicular torsion
Workup
Male
- CBC
- Chem
- Urinalysis
- ?CT abd/pelvis (rule out appy)
- Testicular exam
Female
- CBC
- Chem
- Urinalysis
- Urine pregnancy
- ?Pelvic ultrasound (rule out ovarian torsion) and/or CT abd/pelvis (rule out appy)
- Pelvic exam
Management
- Treat underlying disease process
Disposition
- Per underlying disease process
See Also
- Abdominal Pain
- Abdominal Pain (Peds)
References
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