Left upper quadrant abdominal pain

Background

This page outlines the general approach to adult LUQ pain

Clinical Features

Differential Diagnosis

Left upper quadrant abdominal pain

GERD
Peptic ulcer disease with or without perforation
Pancreatitis
Splenic infarction/Splenic artery aneurysm rupture
Pyelonephritis
Bowel obstruction
Myocardial Ischemia
Pneumonia
Pulmonary embolism
Herpes zoster
Pericarditis/Myocarditis
Aortic Dissection

Workup

CBC
Chem
LFTs
Lipase
Coags
Urinalysis
Urine pregnancy (females)
?ECG (if >50 or at risk for cardiac disease)
?RUQ US
?CXR
- Consider if at risk for perforated ulcer

Management

Treat underlying disease process
Consider GI cocktail (Maalox Plus/Lidocaine Viscous 2%/Donnatol)

Disposition

Disposition per underlying disease process

See Also

External Links

References

This article is issued from Wikem. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.