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Pain in the right upper quadrant under the ribs may be caused by lung diseases, pneumonia, bronchitis or upper respiratory infections, the experts note. The pain could be caused by the underlying ...
The left lower quadrant includes the left iliac fossa and half of the flank. The equivalent in other animals is left posterior quadrant. The left upper quadrant extends from the umbilical plane to the left ribcage. This is the left anterior quadrant in other animals. The right upper quadrant extends from umbilical plane to the right ribcage.
Acute hemorrhage into a hepatocellular carcinoma causes severe upper right quadrant pain, and may be life-threatening, requiring emergency surgery or other emergency intervention. [5] A tumor can expand the size of the liver several times and consequent stretching of its capsule can cause aching pain in the right hypochondrium.
Differentiating upper right quadrant pain In medicine , Murphy's sign (also known as Sweeney’s sign ) is a maneuver during a physical examination as part of the abdominal examination . [ 1 ] It is useful for differentiating pain in the right upper quadrant .
The right one is the most valuable, as the ileo-caecal valve is situated where it cuts the intertubercular line. The orifice of the appendix lies an inch lower, at McBurney's point. In its upper part, the vertical line meets the transpyloric line at the lower margin of the ribs, usually the ninth, and here the gallbladder is situated.
After trauma (blunt or penetrating), abdominal pain (RUQ), right rib pain, right flank pain, right shoulder pain Clinical (history and physical exam) Imaging: FAST examination, CT of abdomen and pelvis Diagnostic peritoneal aspiration and lavage. Resuscitation (advanced trauma life support) with IV fluids (crystalloid) and blood transfusion
Chest X-ray of the same patient as the picture above. A small crescent of air can be seen under the right part of the diaphragm, caused by Chilaiditi's sign. However, it could easily be mistaken for free intra-abdominal air (pneumoperitoneum) which could mistakenly be attributed to bowel perforation.
[2] [3] [4] In humans, it is located in the right upper quadrant of the abdomen, below the diaphragm and mostly shielded by the lower right rib cage. Its other metabolic roles include carbohydrate metabolism , the production of a number of hormones , conversion and storage of nutrients such as glucose and glycogen , and the decomposition of red ...