Right upper quadrant abdominal pain
Background
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Gallbladder anatomy (overview).
Gallbladder anatomy
- This page outlines the general approach to RUQ pain
Differential Diagnosis
RUQ Pain
- Gallbladder disease
- Symptomatic cholelithiasis (biliary colic)
- Choledocholithiasis
- Acute cholecystitis
- Ascending cholangitis
- Acalculous cholecystitis
- Peptic ulcer disease with or without perforation
- Pancreatitis
- Acute hepatitis
- Pyelonephritis
- Pneumonia
- Kidney stone
- Pancreatitis
- GERD
- Appendicitis (retrocecal)
- Pyogenic liver abscess
- Fitz-Hugh-Curtis Syndrome
- Hepatomegaly due to CHF
- Herpes zoster
- Myocardial ischemia
- Bowel obstruction
- Pulmonary embolism
- Abdominal aortic aneurysm
Workup
- CBC
- Chem
- LFTs
- Lipase
- Coags
- Urinalysis
- Urine pregnancy (females)
- Biliary ultrasound
- ?CXR
- Consider if at risk for perforated ulcer
- ?ECG
- If may be cardiac in nature
Management
- Treat underlying disease process
Disposition
- Disposition per underlying disease process
See Also
- Abdominal Pain
- Abdominal Pain (Peds)
References
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