Right lower quadrant abdominal pain: Difference between revisions
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{{Abd DDX RLQ}} | {{Abd DDX RLQ}} | ||
==Workup== | ==Evaluation== | ||
===Male=== | ===Workup=== | ||
====Male==== | |||
*CBC | *CBC | ||
*Chem | *Chem | ||
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*Testicular exam | *Testicular exam | ||
===Female=== | ====Female==== | ||
*CBC | *CBC | ||
*Chem | *Chem | ||
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*?Pelvic [[ultrasound]] (rule out [[ovarian torsion]]) and/or CT abd/pelvis (rule out [[appy]]) | *?Pelvic [[ultrasound]] (rule out [[ovarian torsion]]) and/or CT abd/pelvis (rule out [[appy]]) | ||
*Pelvic exam | *Pelvic exam | ||
===Diagnosis=== | |||
==Management== | ==Management== | ||
Revision as of 22:40, 31 January 2024
Background
- This page describes the general approach to RLQ pain in adults
Classification by Abdominal pain location
| RUQ pain | Epigastric pain | LUQ pain |
| Flank pain | Diffuse abdominal pain | Flank pain |
| RLQ pain | Pelvic pain | LLQ pain |
Clinical Features
- Right lower quadrant abdominal pain
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
Evaluation
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
Diagnosis
Management
- Treat underlying disease process
Disposition
- Per underlying disease process