Causes of right upper quadrant abdominal pain: Difference between revisions

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| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Acute cholecystitis]], [[Acute fatty liver of pregnancy|acute fatty liver]],  [[acute hepatitis]],  [[acute pancreatitis]],  [[ascending cholangitis]],  [[Appendicitis|ascending retrocecal appendicitis]],  [[Appendicitis|atypical acute appendicitis]],  [[biliary colic]],  [[biliary dyskinesia]],  [[Budd-Chiari syndrome]],  [[cholecystitis]],  [[choledocholithiasis]],  [[colitis]],  [[congestive heart failure]],  [[constipation]],  [[Crohn's disease]],  [[diverticulosis]],  [[duodenal ulcer]],  [[dyspepsia]],  [[Cholecystitis natural history, complications and prognosis|gallbladder perforation]],  [[gallstone disease]],  [[Pancreatitis|gallstone pancreatitis]],  [[Cholecystitis natural history, complications and prognosis|gangrenous cholecystitis]],  [[gastroenteritis]],  [[hepatic abscess]],  [[Colorectal cancer|hepatic flexure carcinoma]],  [[hepatic tumor]],  [[hepatomegaly]],  [[HIV]],  [[Hepatomegaly|inflammatory hepatomegaly]],  [[irritable bowel syndrome]],  [[ischemic colitis]],  [[peptic ulcer disease]],  [[Fitz-Hugh-Curtis syndrome|perihepatitis]],  [[seizures]],  [[sepsis]],  [[Zollinger-Ellison syndrome]]
|bgcolor="Beige"| [[Acute cholecystitis]], [[Acute fatty liver of pregnancy|acute fatty liver]],  [[acute hepatitis]],  [[acute pancreatitis]],  [[ascending cholangitis]],  [[Appendicitis|ascending retrocecal appendicitis]],  [[Appendicitis|atypical acute appendicitis]],  [[biliary colic]],  [[biliary dyskinesia]],  [[Budd-Chiari syndrome]],  [[cholecystitis]],  [[choledocholithiasis]],  [[colitis]],  [[congestive heart failure]],  [[constipation]],  [[Crohn's disease]],  [[diverticulosis]],  [[duodenal ulcer]],  [[dyspepsia]],  [[Cholecystitis natural history, complications and prognosis|gallbladder perforation]],  [[gallstone disease]],  [[Pancreatitis|gallstone pancreatitis]],  [[Cholecystitis natural history, complications and prognosis#Gangrenous cholecystitis|gangrenous cholecystitis]],  [[gastroenteritis]],  [[hepatic abscess]],  [[Colorectal cancer|hepatic flexure carcinoma]],  [[hepatic tumor]],  [[hepatomegaly]],  [[HIV]],  [[Hepatomegaly|inflammatory hepatomegaly]],  [[irritable bowel syndrome]],  [[ischemic colitis]],  [[peptic ulcer disease]],  [[Fitz-Hugh-Curtis syndrome|perihepatitis]],  [[seizures]],  [[sepsis]],  [[Zollinger-Ellison syndrome]]
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Revision as of 19:29, 7 August 2013



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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Vendhan Ramanujam M.B.B.S [2]

Overview

Acute right upper quadrant abdominal pain usually arises from liver and biliary tree. Gallstone diseases are the most common causes and thus an emphasis is first laid on the gallstone diseases while approaching the patient.

Causes of Right Upper Quadrant Abdominal Pain

Life Threatening Causes

Common Causes

Causes by Organ System

Cardiovascular Congestive heart failure, ischemic colitis, myocarditis, veno-occlusive disease
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic Herpes zoster, polymyositis
Drug Side Effect Cholecystitis , duodenal ulcer
Ear Nose Throat No underlying causes
Endocrine Addisonian crisis, adrenal hemorrhage, adrenal tuberculosis, constipation, pheochromocytoma
Environmental Heat stroke
Gastroenterologic Acute cholecystitis, acute fatty liver, acute hepatitis, acute pancreatitis, ascending cholangitis, ascending retrocecal appendicitis, atypical acute appendicitis, biliary colic, biliary dyskinesia, Budd-Chiari syndrome, cholecystitis, choledocholithiasis, colitis, congestive heart failure, constipation, Crohn's disease, diverticulosis, duodenal ulcer, dyspepsia, gallbladder perforation, gallstone disease, gallstone pancreatitis, gangrenous cholecystitis, gastroenteritis, hepatic abscess, hepatic flexure carcinoma, hepatic tumor, hepatomegaly, HIV, inflammatory hepatomegaly, irritable bowel syndrome, ischemic colitis, peptic ulcer disease, perihepatitis, seizures, sepsis, Zollinger-Ellison syndrome
Genetic No underlying causes
Hematologic Budd-Chiari syndrome, choledocholithiasis, hemoglobinopathies, sickle cell disease, veno-occlusive disease
Iatrogenic Partial hepatectomy
Infectious Disease Acute hepatitis, adrenal hemorrhage, adrenal tuberculosis, ascending cholangitis, colitis, duodenal ulcer, Fitz-Hugh-Curtis syndrome, gastroenteritis, hepatic abscess, herpes zoster, HIV, pelvic inflammatory disease, perihepatitis, pyelonephritis, sepsis, subdiaphragmatic abscess
Musculoskeletal/Orthopedic Abdominal wall pain, painful rib syndrome, polymyositis
Neurologic Seizures
Nutritional/Metabolic Choledocholithiasis, constipation, diabetic ketoacidosis
Obstetric/Gynecologic Acute fatty liver, eclampsia, HELLP syndrome, pelvic inflammatory disease, preeclampsia
Oncologic Hepatic flexure carcinoma, hepatic tumor, Kaposis sarcoma, malignant infiltration of liver, metastatic infiltration of right adrenal gland, pheochromocytoma, renal carcinoma, Zollinger-Ellison syndrome
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary Empyema, pleural effusion, pleurisy, pleuritis, pneumonia, pulmonary embolism, pulmonary infarction
Renal/Electrolyte Glomerulonephritis, hydronephrosis, pyelonephritis, renal carcinoma, renal colic, renal cyst
Rheumatology/Immunology/Allergy Addisonian crisis, glomerulonephritis, polymyositis
Sexual No underlying causes
Trauma Adrenal hemorrhage, collisions, falls, solid organ laceration or perforated viscus
Urologic No underlying causes
Miscellaneous Heavy exercise

Causes in Alphabetical Order

References

  1. Haberman, D.; Castignola, M.; Martínez, A.; Paladini, H.; Toda, M.; Baldessari, EM.; Ramisch, D.; Gondolesi, G. (2011). "[Acute abdomen with right hypochondrial pain: an unusual cause]". Acta Gastroenterol Latinoam. 41 (4): 276, 357–8. PMID 22292219. Unknown parameter |month= ignored (help)

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