Abdominal pain, right upper quadrant

DDx

Don’t miss

  • Right lower lobe pneumonia
  • Cholangitis
  • Intestinal ischemia
  • Pyelonephritis

DDX

  • Cholelithiasis
  • Cholecystitis
  • Hepatitis, eg, viral, alcoholic, toxic
  • Cholangitis or choledocholithiasis
  • Appendicitis (retrocecal)
  • Peptic ulcer disease (duodenal)
  • Pancreatitis
  • Functional or nonulcer dyspepsia
  • Liver abscess
  • Liver, pancreatic, or biliary tract cancer
  • Ischemic hepatopathy (shock liver)
  • Hepatic vein obstruction (Budd-Chiari syndrome)
  • Right lower lobe pneumonia
  • Pyelonephritis
  • Urinary calculi
  • Fitz-Hugh-Curtis syndrome (with pelvic inflammatory disease)
  • Liver cell adenoma
  • Herpes zoster
  • Trauma or musculoskeletal pain
  • Herniated disk
  • Abdominal abscess
  • Intestinal ischemia
  • Physical or sexual abuse

See related DDx

Last updated: February 24, 2015