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112 Possible Causes for Right Upper Quadrant Pain, Scleral Icterus

  • Primary Biliary Cirrhosis

    Because there may be liver inflammation, some people may experience right upper quadrant abdominal pain , where the liver is located.[] Physical exam was remarkable for scleral icterus and mild jaundice; no xanthomas were noted. Laboratory studies were performed ( Table 1 ).[] Classic Presentation History The classic presentation of biliary colic (episodic pain due to gallstone obstruction of the neck of the gallbladder) is right upper quadrant[]

  • Viral Hepatitis

    In the icteric phase, the patients develop jaundice, gastrointestinal disturbance, dark urine, gray-colored stools, right upper quadrant pain, and hepatomegaly.[] Icteric Phase During this phase clinical signs of jaundice and scleral icterus will appear and some right upper quadrant tenderness may develop due to enlargement of the liver[] A nonspecific viral prodrome is followed by anorexia, nausea, and often fever or right upper quadrant pain.[]

  • Pyruvate Kinase Deficiency

    icterus (yellow coloring of the whites of the eyes) Abdominal pain Enlarged spleen (splenomegaly) Gallstones How is PK deficiency diagnosed?[] […] much iron in the body) resulting from lifelong (or chronic) hemolytic anemia and as a comorbidity related to transfusions Jaundice (yellow coloring of the skin and eyes) Scleral[]

  • Ascending Cholangitis

    Clinical findings Right upper quadrant pain that may radiate to the shoulder, variable severity, nausea, vomiting, constipation, episodic chills, fever, slow pulse, Murphy[] Initial Presentation: Jaundice Abdominal pain Fever Vital Signs: Fever can be present given this is an infectious process Dermatological Exam: Scleral icterus Jaundice Abdominal[] It is estimated that 50% to 70% of these patients present with right upper quadrant pain, fever, and jaundice.[]

  • Hepatic Sarcoidosis

    Right upper quadrant pain, fatigue, jaundice and pruritis are the common presenting symptoms.[] Physical exam revealed scleral icterus, generalized lymphadenopathy, and tender hepatosplenomegaly.[] Physical examination found scleral icterus but was otherwise unremarkable.[]

  • Cholestasis

    To investigate choledocolithiasis: Compatible clinical picture with epigastric or right upper quadrant pain, a history of biliary surgery and/or gallstones.[] Her physical exam was remarkable for jaundice and scleral icterus without any stigmata of liver disease.[] Dark urine, right upper quadrant pain , and occasionally jaundice are other possible signs.[]

  • Choledocholithiasis

    Individuals with acute cholecystitis present with right upper quadrant pain, fever, and leukocytosis. Management includes supportive care and cholecystectomy.[] Scleral icterus may be present, but is not a reliable sign. In case of cholangitis, fever, tachycardia and hypotension may be present.[] During a 6-month follow-up period of the 321 patients who did not undergo an ERCP nine (2.8%) patients were readmitted with right upper quadrant pain and elevated liver tests[]

  • Acute Cholecystitis

    We report the case of a 47-year-old male patient who presented with right upper quadrant pain, tenderness, mild jaundice, moderately elevated liver function tests, and ultrasound[] The presence of scleral icterus or frank jaundice makes the diagnosis of acute cholecystitis unlikely.[] A 74-years-old woman complained of right upper quadrant pain during the last 48 hours, associated to fever of 38 degrees C and vomits.[]

  • Toxic Hepatitis

    The clinical pattern of the cases reported here resembled that in the earlier report: a short prodrome, severe right-upper-quadrant pain, high fever, and chills, with subsequent[] A 47-year-old woman was admitted to our clinic with weakness, fatigue, pruritus, and scleral icterus that had developed 10 days prior to presentation.[] Patient 2 On July 19, 1992, a 41-year-old woman visited her family physician because of abdominal (right upper-quadrant) pain and jaundice of 4 weeks' duration.[]

  • Bile Duct Stricture

    Case Report A 65-year-old man presented with 1 week of fever, right upper quadrant pain, jaundice, pruritus, and subjective steatorrhea.[] Most patients present with severe right upper quadrant pain, nausea, vomiting, and fever.[] Mortality/Morbidity Bile duct strictures, independent of etiology, can cause significant morbidity from recurrent obstructive jaundice, right upper quadrant abdominal pain[]

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