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DD of right hypochondreal pain (Poe) - Coggle Diagram
DD of right hypochondreal pain
(Poe)
Gastrointestinal System
Hepatic Causes:
Hepatitis:
Mechanism: Inflammation of the liver, often due to viral infection or alcohol.
Presentation: Right upper quadrant pain, jaundice, and fatigue.
Liver Abscess:
Mechanism: Localized collection of pus in the liver, often due to infection.
Presentation: Fever, chills, right upper quadrant pain, and nausea.
Hepatic Tumors:
Mechanism: Primary or metastatic cancer affecting liver function.
Presentation: Weight loss, jaundice, and right upper quadrant discomfort.
Biliary Causes:
Cholecystitis:
Mechanism: Inflammation of the gallbladder, often due to gallstones.
Presentation: Severe right upper quadrant pain, especially postprandial, fever, and Murphy’s sign.
Choledocholithiasis:
Mechanism: Gallstones in the common bile duct causing obstruction.
Presentation: Jaundice, dark urine, and right upper quadrant pain.
Gastric Causes:
Peptic Ulcer Disease:
Mechanism: Ulceration of the gastric or duodenal lining, often aggravated by NSAIDs or H. pylori.
Presentation: Epigastric pain, nausea, and possible hematemesis.
Respiratory System
Pneumonia:
Right Lower Lobe Pneumonia:
Mechanism: Infection affecting the lung tissue.
Presentation: Right-sided pleuritic chest pain, fever, cough, and dyspnea.
Pulmonary Embolism:
Mechanism: Obstruction of pulmonary arteries, often by thrombus.
Presentation: Sudden onset of pleuritic chest pain, shortness of breath, and possible hemoptysis.
Cardiovascular System
Myocardial Infarction:
Mechanism: Ischemia of cardiac muscle, often due to coronary artery occlusion.
Presentation: Chest pain, which may radiate to the right shoulder or arm, diaphoresis, and nausea.
Aortic Dissection:
Mechanism: Tear in the aortic wall leading to severe, ripping pain.
Presentation: Sudden onset of severe chest or upper back pain, possibly radiating to the abdomen.
Musculoskeletal System
Costochondritis:
Mechanism: Inflammation of the costal cartilage, often due to trauma or repetitive strain.
Presentation: Localized pain exacerbated by movement or palpation of the costosternal junction.
Rib Fracture:
Mechanism: Trauma leading to fracture of the rib cage.
Presentation: Sharp pain with movement, breathing, or palpation.
Urogenital System
Right Kidney Pathologies:
Renal Colic:
Mechanism: Ureteral obstruction due to kidney stones.
Presentation: Severe flank pain that may radiate to the right hypochondrium, hematuria.
Pyelonephritis:
Mechanism: Infection of the kidney leading to inflammation.
Presentation: Flank pain, fever, chills, and dysuria.
Ectopic Pregnancy (Right-sided):
Mechanism: Implantation of a fertilized egg outside the uterus.
Presentation: Abdominal pain, possible vaginal bleeding, and signs of shock.