Right lower quadrant abdominal pain: Difference between revisions
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*[[Urinalysis]] | *[[Urinalysis]] | ||
*Urine pregnancy | *Urine pregnancy | ||
*?Pelvic | *?Pelvic [[ultrasound]] (rule out [[ovarian torsion]]) and/or CT abd/pelvis (rule out [[appy]]) | ||
*Pelvic exam | *Pelvic exam | ||
Revision as of 19:46, 13 November 2016
Background
- This page describes the general approach to RLQ pain in adults
Clinical Features
Differential Diagnosis
RLQ Pain
- GI
- Appendicitis
- Perforated appendicitis
- Peritonitis
- Crohn's disease (terminal ileitis)
- Diverticulitis (cecal, Asian patients)
- Inguinal hernia
- Mesenteric ischemia
- Ischemic colitis
- Meckel's diverticulum
- Neutropenic enterocolitis (typhlitis)
- Appendicitis
- GU
- Other
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