Right Upper Quadrant Tenderness: Causes & Reasons

Possible Causes for Right Upper Quadrant Tenderness

upper quadrant pain 2.5 0.28 81 67 Murphy sign* (older patient) 2.3 0.66 48 79 Palpable gallbladder 2.0 0.99 2 99 Fever 1.8 0.81 35 80 Right upper quadrant tenderness 1.7 [aafp.org]

There is right upper quadrant tenderness, dyspepsia, flatulence, nausea and vomiting. Protracted vomiting can result to dehydration. [allhealthsite.com]

tender right upper quadrant, fever, jaundice Endoscopic retrograde cholangiopancreatography Leukocytosis, elevated liver enzyme levels Gallstone pancreatitis Epigastric pain [aafp.org]

Choledocholithiasis

Physical examination Patients may exhibit epigastric or right upper quadrant tenderness. Scleral icterus may be present, but is not a reliable sign. [hepatitis.va.gov]

upper quadrant pain postprandial Physical exam palpation right upper quadrant tenderness Studies Diagnostic approach laboratory evaluation and right upper quadrant ultrasound [step2.medbullets.com]

She had right upper quadrant tenderness but no signs of peritoneal irritation. [thelancet.com]

Fitz-Hugh-Curtis Syndrome

She presented with subsequent right upper quadrant abdominal tenderness. [primescholars.com]

Symptoms may include fever, pleuritic pain, right upper quadrant tenderness, and/or cervical motion tenderness [1]. [hindawi.com]

Newly-onset constipation followed by right upper quadrant tenderness, even though a patient denies preceding signs of PID, strongly suggests FHCS. [primescholars.com]

Liver Abscess

Initial evaluation showed a patient without acute stress, with normal vital signs and right upper quadrant tenderness with positive Murphy’s sign. [sages.org]

upper quadrant tenderness and pain with possible extension in the left upper quadrant or the right shoulder and an enlarged, palpable liver. [symptoma.com]

There was no rebound tenderness. A lesion with heterogeneous radiodensity was noted in the right upper abdomen on chest radiography (Panel A, arrowheads). [nejm.org]

Acute Cholecystitis

On hospital day 54, he developed fever and right upper quadrant tenderness. [ncbi.nlm.nih.gov]

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 [ncbi.nlm.nih.gov]

Patients present with pain, right upper quadrant tenderness, and leukocytosis. About 70% of patients with acute cholecystitis have diffuse wall thickening. [med-ed.virginia.edu]

Ascending Cholangitis

Physical signs may include fever, right upper quadrant tenderness, jaundice, mental status changes, hypotension and tachycardia. [patient.info]

Some may report jaundice (yellow discoloration of the skin and the whites of the eyes). [1] Physical examination findings typically include jaundice and right upper quadrant [ipfs.io]

Some may report jaundice (yellow discoloration of the skin and the whites of the eyes).[1] Physical examination findings typically include jaundice and right upper quadrant [en.wikipedia.org]

Pyogenic Liver Abscess

There was no rebound tenderness. A lesion with heterogeneous radiodensity was noted in the right upper abdomen on chest radiography (Panel A, arrowheads). [nejm.org]

Patients with liver abscess usually present with right upper quadrant pain or tenderness and signs of sepsis. [annals.org]

Fever Lethargy Discomfort in right upper quadrant of abdomen Anorexia Enlarged and tender liver Pleural effusion Fever Abdominal discomfort Enlarged liver Biliary disease [en.wikipedia.org]

Hepatic Rupture

Physical examination showed significant right upper quadrant tenderness, soft abdomen with no guarding or rigidity and active bowel sounds, normal heart sounds with no murmurs [hrjournal.net]

Lesser hemorrhage or hematomas cause right upper quadrant abdominal pain and tenderness. [merckmanuals.com]

She had worsening right upper quadrant pain and on examination the surgical site was clean with a tender right upper quadrant. [ispub.com]

Cholelithiasis

Epigastric and/or right upper quadrant tenderness (Murphy sign) is a traditional physical finding associated with acute cholecystitis. [unboundmedicine.com]

Caption: Transverse Image of Right Upper Quadrant. | Description: The gallbladder demonstrates tiny gallstones. There was mild tenderness over the gallbladder. [123sonography.com]

Mild right upper quadrant or epigastric tenderness may be present; peritoneal findings are absent. Between episodes, patients feel well. [merckmanuals.com]

Hepatic Vein Occlusion

Physical examination was remarkable for splenomegaly and mild right upper quadrant tenderness. [members.sirweb.org]

Amebic Liver Abscess

Common signs were right upper quadrant tenderness (60%), hepatomegaly (67%). [ncbi.nlm.nih.gov]

Approximately half of patients have right upper quadrant tenderness, hepatomegaly, or jaundice. E. What diagnostic tests should be performed? 1. [clinicaladvisor.com]

Fever Pain right hypochondrium Chills Rigors Toxicity Right upper quadrant discomfort Diarrhea weight loss Intercostal tendreness Swelling in the right hypo chondrium or epigastrium [slideshare.net]

Subcapsular Liver Hematoma

He also had icterus with right upper quadrant tenderness. Laboratory data showed leukocytosis with total count around 14,000/mm 3. [jdeonline.in]

She had worsening right upper quadrant pain and on examination the surgical site was clean with a tender right upper quadrant. [ispub.com]

On physical examination, the patient had hepatomegaly and was tender to right upper quadrant palpation. The physical exam was otherwise within normal limits. [uscapknowledgehub.org]

Subphrenic Abscess

He had tenderness in the right upper quadrant but no rebound tenderness. [mdedge.com]

The absence of fever and right upper quadrant tenderness is against the diagnosis in this case. [studyingmed.com]

The second most common finding is right upper quadrant pain. [atsu.edu]

Choledochal Cyst

The abdomen was soft with a mild right upper quadrant tenderness. Laboratory studies indicated no data perturbation. [em-consulte.com]

Unfortunately, the examination is not particularly helpful; while the mild right-upper quadrant tenderness might be due to gallbladder disease, this is too non-specific a [prognosisapp.com]

Physical examination revealed tenderness at the right upper quadrant of the abdomen. [ncbi.nlm.nih.gov]

Chronic Cholecystitis

The most common symptom was the right hypochondriac pain and right upper quadrant tenderness was the most common sign noted. [jemds.com]

The diagnosis of acute cholecystitis was based on the finding of acute upper abdominal pain, with acute right upper quadrant tenderness for more than 6 hours, associated nausea [najms.org]

Symptoms include right upper quadrant pain and tenderness, sometimes accompanied by fever, chills, nausea, and vomiting. [msdmanuals.com]

Cholecystectomy

upper quadrant pain 2.5 0.28 81 67 Murphy sign* (older patient) 2.3 0.66 48 79 Palpable gallbladder 2.0 0.99 2 99 Fever 1.8 0.81 35 80 Right upper quadrant tenderness 1.7 [aafp.org]

AC was defined by the clinical, biochemical and radiological findings. 11 Findings considered were right upper quadrant tenderness, fever, a raised white cell count, ultrasonography [doi.org]

Physical examinations generally reveal moderate fever, tachycardia and marked tenderness in the upper right quadrant. 25% of patients have palpable hydropic gallbladder. [panafrican-med-journal.com]

Acute Liver Failure

Physical exam Findings may include right upper quadrant tenderness, smaller liver span, and jaundice. Stigmata associated with chronic liver disease are also common. [symptoma.com]

upper quadrant tenderness: Variably present Change in liver span: May be small due to hepatic necrosis or may be enlarged due to heart failure, viral hepatitis, or Budd-Chiari [emedicine.com]

Often present but not always Ascites: Potential for hepatic vein thrombosis with rapid development in the presence of fulminant hepatic failure accompanied by abdominal pain Right [emedicine.com]

Gallstone Ileus

There was mild tenderness in the midepigastrium and right upper and lower quadrants, but no rebound tenderness or guarding. [accessemergencymedicine.mhmedical.com]

Snapshot An 85-year-old woman with a history of hypertension presents to the emergency department with one-week of nausea, vomiting, and crampy, intermittent right upper quadrant [medbullets.com]

On physical exam, mucous membranes are dry and the RUQ abdomen is tender to palpation. [medbullets.com]

Liver Injury

• Right upper quadrant tenderness will be present. 6. DIAGNOSTIC TEST1. [slideshare.net]

Lesser hemorrhage or hematomas cause right upper quadrant abdominal pain and tenderness. [merckmanuals.com]

Suspect liver laceration when penetrating trauma involves the right lower chest or right upper abdomen, or when right upper quadrant tenderness accompanies blunt trauma.2. [slideshare.net]

Acetaminophen Overdose

Clinical signs of hepatotoxicity will usually develop about 1 to 3 days after ingestion, with right upper quadrant pain and tenderness, nausea, and vomiting; patients may [online.epocrates.com]

upper quadrant abdominal pain, anorexia, nausea, and vomiting Right upper quadrant tenderness may be present Tachycardia and hypotension may indicate volume losses Some patients [emedicine.medscape.com]

As stage II progresses, patients develop right upper quadrant pain, with liver enlargement and tenderness. [quizlet.com]

Zieve's Syndrome

His abdominal examination was remarkable for right upper quadrant tenderness with mild hepatomegaly. [journals.lww.com]

The chest radiograph was significant for chronically elevated right hemidiaphragm but no acute process. Electrocardiogram was unremarkable. [journals.lww.com]

Amebiasis

Liver abscess usually presents with right upper quadrant pain, fever, and tenderness to palpation. [ncbi.nlm.nih.gov]

upper quadrant of the abdomen, and tenderness Jaundice can occur 60-70% of patients with amoebic liver abscess do not have concomitant colitis Intraperitoneal rupture is [dermnetnz.org]

[…] patients develop fever, weight loss, and loss of appetite Fulminant or necrotising colitis can develop Amoebic liver abscess Most commonly presents as fever, pain in the right [dermnetnz.org]

Metastatic Liver Carcinoma

upper quadrant tenderness Ascites and jaundice References: [3] [4] Diagnostics Laboratory tests ↑ Serum alpha-fetoprotein ( AFP ) Laboratory studies consistent with hepatitis [amboss.com]

[…] mostly cirrhosis or hepatitis ) Metastasis is uncommon and usually only occurs in advanced stages Possible symptoms in advanced disease Weight loss, cachexia Hepatomegaly and right [amboss.com]

Massive Hepatic Necrosis

There was no mass or tenderness in the right upper quadrant. [nap.edu]

On physical exam, she was hypertensive (188/69 mm Hg) and had mild tenderness to palpation in the right upper quadrant. [acgcasereports.gi.org]

The liver was palpable two fingerbreadths below the costal margin and there was definite right upper quadrant tenderness. [nap.edu]

Viral Hepatitis

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 [pathwaymedicine.org]

RECOMMENDED CASE DEFINITION Clinical description Acute illness typically including acute jaundice, dark urine, anorexia, malaise, extreme fatigue, and right upper quadrant [helid.digicollection.org]

tenderness. [helid.digicollection.org]

Isoniazid Hepatitis

especially right upper quadrant discomfort. [rxwiki.com]

[…] vomiting, dark urine, icterus, rash, persistent paresthesias of the hands and feet, persistent fatigue, weakness or fever of greater than 3 days duration and/or abdominal tenderness [wikidoc.org]

[…] vomiting, dark urine, icterus, rash, persistent paresthesias of the hands and feet, persistant fatigue, weakness or fever of greater than 3 days duration and/or abdominal tenderness [rxwiki.com]

Liver Hematoma

She had worsening right upper quadrant pain and on examination the surgical site was clean with a tender right upper quadrant. [ispub.com]

Alcoholic Liver Disease

Most patients with moderate disease are undernourished and present with fatigue, fever, jaundice, right upper quadrant pain, tender hepatomegaly, and sometimes a hepatic bruit [merckmanuals.com]

In one third of patients, the liver is enlarged and smooth, but it is not usually tender. Alcoholic hepatitis ranges from mild and reversible to life threatening. [merckmanuals.com]

Primary Sclerosing Cholangitis

upper quadrant pain / tenderness Increased risk for cholangiocarcinoma End stage disease is associated with hyperplasia of glands of extrahepatic bile ducts, with low incidence [pathologyoutlines.com]

Depending upon how far the disease has progressed and the effect on liver function, physical examination may reveal an enlarged liver, tenderness in the right upper quadrant [rxlist.com]

[…] only 4% with ulcerative colitis have primary sclerosing cholangitis) Secondary sclerosing cholangitis: due to stones, prior surgery Symptoms: fatigue, pruritis, jaundice, right [pathologyoutlines.com]

Gallbladder Disease

Patients who have persistent right upper quadrant tenderness and develop fever or an elevated white blood cell count should be seen more urgently. [clevelandclinicmeded.com]

Abdominal exam can reveal right upper quadrant tenderness, especially with inspiration, (Murphy’s sign) and guarding (31). [sharinginhealth.ca]

Upper-right-quadrant tenderness and palpable infiltrate in the region of the gallbladder are revealed upon physical examination. 5,10 Cholecystitis presents in the same manner [uspharmacist.com]