Transcription of 1 Right Upper Quadrant Pain - Thieme
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1 Right Upper Quadrant Pain - Thieme
Right Upper Quadrant (RUQ) pain is a common complaintthat typically stimulates a workup of the hepatobiliarysystem. In particular, evaluation of the gallbladder (GB) isimportant because cholelithiasis and its complications area frequent cause of RUQ pain. For this reason, tests used inthis condition must be capable of providing accurate infor-mation about the GB. This chapter focuses on the imagingevaluation of the patient with RUQ pain and illustrateswhy the use of ultrasound is so DiagnosisGallstone disease is one of the most common causes ofRUQ pain. Gallstones are present in 10% of the North America, 75% of gallstones are cholesterolstones; the rest are pigment In women, factors thatpredispose to gallstones are increased weight, increasedage, and increased parity.
be radiographs ofthe chest and abdomen. These are rapid and inexpensive ways of evaluating the patient for pul-monary and intestinal sources ofpain. In addition, abdom-inal radiographs can detect calcifications in the kidney, ureter, appendix, and pancreas. Gallstones that are suffi-ciently calcified to be radiopaque (10 to 15% ofcases) can
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