CLINICAL DIAGNOSTIC MANUAL
Tenderness in the right upper quadrant is a symptom that may indicate various hepatic and biliary pathologies.
Condition | Description | Symptoms and Signs | Diagnostic Tests |
Acute Cholecystitis | Acute inflammation of the gallbladder, commonly associated with biliary obstruction by stones. | Severe pain in the right upper quadrant, nausea, vomiting, fever, positive Murphy’s sign. | Abdominal ultrasound (assessment of gallbladder inflammation), blood tests (liver enzyme levels). |
Acute Alcoholic Hepatitis | Acute liver inflammation due to excessive alcohol consumption. | Right upper quadrant pain, jaundice, fatigue, elevated liver transaminases. | Blood tests (assessment of liver function, enzyme levels, and hepatitis markers), history of alcohol use. |
Acute Viral Hepatitis | Acute liver infection caused by viruses (hepatitis A, B, or C). | Right upper quadrant pain, jaundice, general malaise, elevated liver enzymes. | Specific serological tests for each type of hepatitis virus, blood tests (assessment of liver function). |
Acute Hepatic Congestion | Acute accumulation of blood in the liver due to venous obstruction or heart failure. | Right upper quadrant pain, hepatomegaly, ascites, signs of heart failure. | Abdominal ultrasound (assessment of hepatic congestion), liver function tests, cardiac studies. |
Comentários