Ver el código de «Right upper quadrant abdominal pain»

==Background==
*This page outlines the general approach to RUQ pain

{{Abdominal pain location}}

==Clinical Features==
*Right upper quadrant pain

==Differential Diagnosis==
{{DDX RUQ}}

==Evaluation==
[[File:Gallbladder (organ).png|thumb|Gallbladder anatomy (overview).]]
[[File:GallbladderAnatomy-en.svg|thumb|Gallbladder anatomy]]
===Workup===
====Labs====
*Abdominal panel
**CBC
**Chemistry
**LFTs + lipase
**Coagulation studies (PT, PTT, INR), as a marker of liver function
*[[Urinalysis]]
**Leukocytes will be present in 40% of patients<ref>Baird DLH, Simillis C, Kontovounisios C, Rasheed S, Tekkis PP. Acute appendicitis. BMJ. 2017;357:j1703. Published 2017 Apr 19. doi:10.1136/bmj.j1703</ref>
**Urine pregnancy test (if age and sex appropriate)

====Imaging====
*[[Biliary ultrasound]]
*Consider [[CXR]] to assess for free air under the diaphram
**If at risk for a perforated ulcer (e.g., age >55)
*Consider [[ECG]] 
**If may be cardiac in nature

===Diagnosis===
*Definitive diagnosis may be determined via a combination of history, labs, and imaging
*If no definitive diagnosis at end of ED workup, but no signs of emergent pathology, may be empirically treated (e.g., for [[GERD]]) with further workup as an outpatient

==Management==
*Treat underlying disease process

==Disposition==
*Disposition per underlying disease process

==See Also==
*[[Abdominal Pain]]
*[[Abdominal Pain (Peds)]]

==External Links==

==References==
<references/>

[[Category:GI]]
[[Category:Symptoms]]