Right Upper Quadrant Pain

Right Upper Quadrant Pain

Right upper quadrant pain can be caused by a wide variety of situations. Age, gender and general condition of the patient is likely to affect diagnosis. History and examination will focus on the differential diagnosis. Such as acute or chronic onset, weight loss, fever, general malaise, and features such as urine or stool symptoms point to a diagnosis may help you. There is an acute abdomen to decide if it is important. 

• Keep in mind the general condition of the patient. Patient fairly well, shocked, or dyspnoeic calorie is? Jaundice 
• NOTE temperature, pulse rate and quality, and blood pressure. 
• The patient should be adequately disrobed and both patient and examiner should be in a comfortable position. Requires a systematic examination of the abdomen.Abdominal examination is described elsewhere. See separate article abdominal examination. 
• Diagnosis is still elusive, respiratory system examination is indicated. 

Various Diagnosis 

• Liver and gallbladder disease 
• It’s as congestive heart failure, liver capsule of the liver disease spread is usually very painful. The liver can be damaged by blunt trauma. Lymphoma or leukemia, chronic myeloid Hepato-splenomegaly, such as autoimmune diseases, including primary biliary cirrhosis with or be with malignancy. 
• Budd-Chiari syndrome can present with right upper quadrant pain. Gallstones are common and have become more common as the years advance. Most are asymptomatic, but they can cause pain at any time. 
• Other stones are always associated with gallbladder disease which include gallbladder carcinoma. 
• Ascending cholangitis pain, fever and jaundice is a classic triad. 

Intestinal lesions 

• Hepatic flexure carcinoma lesions, diverticulosis, ischemic colitis, constipation and Crohn’s disease. 
• Acute appendicitis should be considered abnormal. 
• Recurrent symptoms may be caused by irritable bowel syndrome. 
• Meckel’s diverticulum usually in children, can present in a variety of ways. Diagnosis is usually made ​at laparotomy. Is often a lack of blood per rectum. 

Heart disease 

• With a dissecting aortic aneurysm abdominal pain usually begins in the chest and in the back is marked and can spread from under the feet. Other arterial aneurysms and may bleed. 
• Cardiac pain is sometimes as upper abdominal pain may be present. 
• Congestive cardiac failure, liver capsule may be a stretch. 

Kidney disorders 

• Pyelonephritis. 
• Nephrolithiasis. 
• Hydronephrosis. 
• Renal carcinoma. 
• Ureteral obstruction in the urinary tract including the kidneys or other diseases. 

Respiratory disease 

• Pain in the lower right lobe of the lung may occur. 
• Lobar pneumonia 
• Myocardial infarction and pulmonary embolism. It is doubtful, then check for evidence of deep vein thrombosis. 

Endocrine or exocrine dysfunction 

• Diabetic ketoacidosis. 
• Addisonian crisis. 
• Adrenal tuberculosis. 
• Metastatic carcinoma. 
• Pancreas pain is unusual and may be misleading, though often between the scapulae, and is central in the back. Amylase raised at intestinal blockage but it is very high in acute pancreatitis. 
• Carcinoma of the pancreas that produce pain between scapulae, leaning forward on deregulation. 

Adds in the last trimester of pregnancy problems. Minor elevations of liver enzymes such as acute fatty liver of pregnancy (AFLP) or H aemolysis as a syndrome of late pregnancy with life-threatening disease may precede, e l iver enzyme levels levated, l op latelet count (HELLP).

Pre-eclampsia, HELLP syndrome, and AFLP Farm mild symptoms to severe life-threatening multiorgan dysfunction is among a spectrum of disease. During pregnancy has been shown to be the main causes of severe liver disease.

Pelvic inflammatory

Pelvic inflammatory disease that cause sexually transmitted diseases are passed from one person to another during sexual contact. Any girl or woman to engage in sexual activity that causes the contract and pelvic inflammatory disease that can be passed on sexually transmitted diseases. However, pelvic inflammatory disease of young, sexually active and is most common in women experiencing menopause, which occurs in women at least once. More sexual partners a person has, the greater can cause pelvic inflammatory disease risk of catching a sexually transmitted disease.