causes Of upper right quadrant pain in Abdomen gall stone colic without acute inflammation or infection jaundice , biliary colic , pian
causes Of upper right quadrant pain in Abdomen
gall stone colic
without acute inflammation or infection
jaundice , biliary colic , pian in epigastrium & upper right quadrant
pain radiating to right lower scapula
no fever
In the RUQ tenderness
WCC normal
confirmed by US scan
Acute Cholecystitis
characterized by fever , guarding , +ve Murphy sign , Leucocytosis
confirmed by U.S scam
Acute Pancreatitis
pain radiating direct through the back , pain better during sitting , or leaning forward
general abdominal tenderness , reduced bowel sounds
confirmed by increased serum amylase , lipase and C.T pancreas
Serum Lipase is very significant
in C.T Pancreas is oedematous
Acute Cholangitis
Fever , right upper quadrant abdominal pain , Jaundice or Charcot triad
Hypotension due to septic shock
CBC : LeukocytosiS
diagnosed by US scan , Blood Culture
Gastric Carcinoma
Old Male , Alchol
Anorexia , loss of weight , Fullness , Pain ( Troisier sign ) virchow node large lymph node in the left supraclavicular fossa
to be confirmed by Upper gastrointestinal endoscopy with Biopsy
Gastritis
Epigastric pain , dull or burning discomfort especially with sleeping
confirmed oesophogogastroscopy , barium meal and PH study
Esophagitis
retrosternal pain , heartburn
diagnosed by esophagpgastroscopy
Hiatus Hernia
Heartburn worsens with stoooping or lying
relieved by antacids
confirmed by esophagogastroscopy , barium meal
Acute Cronary Syndrome
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