Unravel the mystery of right upper quadrant (ruq) abdominal pain

healthclubfinde 337 views 13 slides Oct 06, 2020
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About This Presentation

Learn & increase your understanding of 4 Abdominal Quadrants. These organs often work in a mutually symbiotic relationship inside your body. For more information https://bit.ly/2I0ar6u


Slide Content

Unravel the mystery of Right Upper
Quadrant (RUQ) Abdominal Pain
Theabdominalregionofyourbodyencasesorganswhicharevitalfortheproper
functioningofourbody.Theseorgansoftenworkinamutuallysymbiotic
relationshipinsideyourbody.Tounderstandtheanatomyandfunctionofthese
organstheyaredividedinto4equalabdominalquadrants.Thisdivisionhelps
clinicianstolocalize,identify,anddiagnoseifthepatientissufferingfrom
abdominal pain.
Thefour-divisionarecharteredoutbyaverticallinecalled(mediaplane)linea
albathatsplitstheabdomeninverticalhalfandthetransumbilicalplanedividesit
intohorizontalhalf.Thesetwoplanesintersecteachotheratanumbilicus
separating the four quadrants and giving them a distinct appearance.

4 Abdominal Quadrants
Source: pinimg.com
The four quadrants are easy to remember because they are mostly named as
Left Upper Quadrant (LUQ)
Left lower Quadrant(LLQ)
Right Upper Quadrant (RUQ)

Right Lower Quadrant (RLQ)
Here are some major organs you will find in each of the quadrants
Left Upper Quadrant (LUQ)
Source: slideserve.com
●Stomach
●Spleen
●Left lobe of the liver
●The main part of the pancreas
●Proximal ileum
●Jejunum
●The superior part of the colon
●Left kidney

Left lower Quadrant(LLQ)

Source: grepmed.com
●Left ovary
●A part of the large bowel system
●Left ureter
●Uterus
●uterine tube
●ductus deferens
●urinary bladder
●part of colon

Right Upper Quadrant (RUQ)
Source: grepmed.com
●The right lobe of the liver
●Gallbladder
●Pylorus of stomach
●Part of duodenum
●Right Kidney
●Part of colon

Right Lower Quadrant (RLQ)
Source: grepmed.com
●Appendix
●Right ureter
●Ascending part of the colon
Theseorgansappearasameshworkandoftenprovesdifficulttopinpointthe
pain associated in the abdomen.

VariousdiseasesassociatedwithRightUpper
Quadrant (RUQ)
Source: wp.com
Herearefewdiseasestocheckoutifyouhaveexperiencedrightupperquadrant
pain and symptoms associated with it.
Hepatitis
Hepatitis is a disease caused by the virus. The most common viruses are
HEP A: It is a mild ​Hepatitis caused​ ​by contaminated water and food.
HEP B: It is a severe form of Hepatitis which may lead to cirrhosis or liver failure

HEPC.Itisachronicviraldiseasecausedbyinfectedblood.Thismayalsolead
to inflammation and ​damage to the liver
Hepatitis causes inflammation of the liver which in turns hampers its functionality
The symptoms associated are fatigue, dark urine, jaundice, and flu.
Cholecystitis
Aninfectionensuedbygallstonesina​gallbladderiscalledCholecystitis.The
gallstonesareamixtureofbileanddigestivejuices.Thismixturegetsdeposited
inthegallbladderorinsideacysticduct(neckofagallbladder)resultingin
excruciatingpainbetweenshoulderandback.Therearenonoticeablesymptoms
howevermildsymptomssuchasnauseaandvomitingcouldbenoticed.The
incidences of Cholecystitis is higher in females as compared to males.
GERD- Gastroesophageal Reflux Disorder
ITisachronicdigestivediseasethatcausesesophagealburningandheartburn.
ThestomachpropelstheacidtowardsthechestthroughtheOesophagusandout
of the mouth.
CausesofGERD​–Itiscausedwhentheloweresophagealsphincter(LES),aring
ofmuscledoesn’ttightenorcloseproperlytostoptheacidregurgitationtoward
thechest.WhenitisworkingproperlytheLESrelaxesasyouswallowthefood
then it tightens and closes itself.
Pregnant women are more likely to suffer from GERD.
Kidney issues
Any​kidneyproblemssuchasrenalinfection,kidneystonesorUTIcanradiateits
painintotheRUQoftheabdomen.Thesymptomstypicallyincludemicturition,
foul odor of your urine, vomiting, and fever.

Pancreatitis
Pancreatitisisinflammationofthepancreas.Itissituatedintheupperarea
behind the stomach.
Themainroleofthepancreasistosecreteinsulinandregulatebloodsugar
levels.Pancreatitisisoftenaccompaniedbytheonsetoffever,abdominalpain
after consuming food, rapid pulse rate, etc.
Liver Abscess
Anabscessorpusisformedinsidealiver.Thepusisfesteredwithbacteria
whichmayresultinsepticemia.Theprimarymanifestationofsymptomsis
dark-coloredurine,greystool,Painintherightabdomen,weightloss,jaundice,
night sweat, and chills.
Shingles
Shinglesappearasrashesandblistersontheupperpartoftheabdomen.They
arecausedbyaviralinfection.Theyappearinaringformationaroundtheupper
abdomen. The symptoms are tingling, burning, fever itching, and headache.
Gastritis
Aninflammationofthemucosalliningofthestomachoftenassociatedwitha
complaintofperiodicabdominalpainoverafairlylargearea,whichistriggered
afterconsumingfood.Alcoholabuse,frequentconsumptionofpainrelievers,
andvariablebacterialinfectionaccountsforthemajorityofcasesworldwide.The
symptoms are associated with nausea, vomiting and bloating

Peptic ulcers
Pepticulcers​,aharbingerofabdominalpainisoftenaccompaniedbyperforation
orpenetration.Itaffectstheinnerliningenvironsofthestomachandmayresult
in a burning sensation in the upper part of the abdomen.
Pregnancy
Abdominalpainoftenreflectsahigherincidenceinfemalesascomparedto
males.Thecardinalreasonforabdominalpaininwomenispregnancy.In
pregnantwomen​,asthebabygrows,theabdominalcavitystretchesitselfto
accommodatethegrown-upfetusthusinvitingpaininlowerrightabdomenin
female
Cancer
Cancer,asilentkillerstartsshowingsymptomswayaheadofitsmalignancy.But
itcanonlybedetectedinlaterstages.However,ifyouhaveametastaticortumor
therecouldbepersistentpaininyourabdomen.Thesymptomsinlaterstages
could aggravate if overlooked.

Howtodiagnoserightquadrant(upperand
lower)abdominal pain
Source: pinimg.com
Adoctormayaskyoutoperformanarrayofthetesttoascertainthecausesof
pain.
●CBC,electrolytes,andLiverfunctiontestscandeterminethecausesof
underlying diseases.
●Urinalysis may be used to assess your kidney function or renal stones
●A stool culture could be asked to look for ​pathogenic infections.
●Althoughcomprehensivetestslikeendoscopy,ultrasound,X-Ray,and
CT scan could pinpoint the tricky complications involved with pain.

Also Read: ​Some Of The Main Causes Of Stomach Pain
Treatmentforpainintherightquadrant(upperand
lower)abdominal pain
Source: rd.com
Acauseisidentifiednowatreatmentseemstobeacakewalkforyouandyour
doctor.
●Antibioticsandantiviraltherapyprovetobeachoiceoftreatmentfor
bacterial and viral infections respectively.
●Kidneyinfections,ShinglesandCholecystitiscanbetreatedwithan
accurate dosage of antibiotics and antiviral
●Anantacidorprotonpumpinhibitoristheholygrailforstomachulcers,
GERD or Gastritis.
●Kidney stones or gall bladder stones can be removed surgically

●Cancer could be treated by radiotherapy or chemotherapy
●A tumor could be removed by ​surgical procedures
Outlook
Thecausesoftheabdominalpainanditstreatmentcanabsolveinitsentiretyif
treatedontime.However,ifleftuntreateditmayheraldmajorcomplications.The
mildailmentslikegutproblemscouldbeeasilytreatedwithpainkillersor
antibiotics.Themajorcomplicationofliverorkidneyorcancerassociatedwith
anyorganneedstobeaddressedwithpropertreatmentandundertheguidance
of your clinical practitioner.
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