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Left upper quadrant abdominal pain in the ED

read this first abdominal pain in ED

Left upper quadrant pain:

differential diagnosis:

  • essentially as for epigastric pain but makes diagnoses of biliary disease or appendicitis much less likely
  • gastritis
  • LLL pneumonia, acute pyelonephritis, etc as for RUQ pain
  • splenomegaly (not usually painful though)
  • splenic rupture - this may be rapidly fatal
    • usually post-trauma
    • higher risk in those with splenomegaly
  • ruptured splenic artery aneurysm - this may be rapidly fatal
    • rare, but a condition to consider in 2nd or 3rd TM of pregnancy
  • focal tenderness over the descending colon in the absence of renal pathology:
abdopain_luq.txt · Last modified: 2016/05/25 22:49 (external edit)