Abdominal Pain Explained Clearly - Right Upper Quadrant

This course provides:

- A straightforward 4 step approach for evaluating acute abdominal pain in an adult and asking the right questions (useful for clinic, emergency, and hospital settings).

- An overview of many of the most common and life-threatening causes of acute abdominal pain — and the best imaging choice to evaluate them.

- Practical strategies to narrow an abdominal pain differential diagnosis based on associated symptoms.


Speaker: Roger Seheult, MD
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.

MedCram: Medical education topics explained clearly including: Respiratory lectures such as Asthma and COPD. Renal lectures on Acute Renal Failure and Adrenal Gland. Internal medicine videos on Oxygen Hemoglobin Dissociation Curve and Medical Acid Base. A growing library on critical care topics such as Shock, Diabetic Ketoacidosis (DKA), and Mechanical Ventilation. Cardiology videos on Hypertension, ECG / EKG Interpretation, and heart failure. VQ Mismatch and Hyponatremia lectures have been popular among medical students and physicians. The Pulmonary Function Tests (PFTs) videos and Ventilator associated pneumonia bundles and lectures have been particularly popular with RTs. NPs and PAs have given great feedback on Pneumonia Treatment and Liver Function Tests among many others. Many nursing students have found the Asthma and shock lectures very helpful.

Recommended Audience - medical professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review and test prep for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NBDE, RN, RT, MD, DO, PA, NP school and board examinations.

Produced by Kyle Allred PA-C

Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider.

[scottyplusfive]

I’ve had upper right quadrant abdominal pain for 6 months now! It all began with weird stomach noises, followed by 1 week of constipation. I tried cutting out all bad foods, sugars, gluten etc. lost about 25lbs the first month. Was referred to a GI who performed every test I can think of (colonoscopy, EGD, fibro Scan, Hida Scan, stool tests, blood work etc). My stool fat stain test showed abnormal fat absorption. Blood tests revealed folate levels 5 times higher than normal range.
As my symptoms progresses I started feeling intoxicated/foggy in my brain. My blood ammonia levels were tested and can back elevated (10-12 points higher than standard range). I developed a lump in my right armpit. Had ultrasound and found out it was 2 swollen lymph nodes. Had a biopsy and they came back non malignant.
To date, I still don’t have many answers, and no diagnosis. I know I have inflammation in my stomach, small intestine, lymph nodes. I have uncomfortable pain in right upper quadrant. I’ve never been sick this long in my life. I AM NOT A DRINKER NOR A DRUG USER. Aside from bad eating habits, I’m typically a healthy, active guy. Very difficult to deal with all this

[naobieeyendrembam]

I'm having this very uncomfortable pain in my upper belly, took all kinds of tests like LFT, Lipid, ultrasound, stool occult, scea, fibroscan. But the result shows fatty liver with fibroscan result 8.5 median. Doctor said The liver is doing quite OK and the pain might be from overthinking and stress. But trust me I've had much stress in life and never felt like this ever before. This is very disturbing, The pain will start right from the morning when i wake up and goes on forever. It's distracting me from all regular works and I'm not able to concentrate on anything. Please Suggest me if theres anything to cure this thing. The pain is more like heaviness on my right belly and its there like all the time. I need help

[tonyd]

Can it be gas? I feel it right beneath my ribs

[likewisegaming]

I used to be a heavy drinker for 20+ years and 2 and a half years ago I started getting pain in my right quadrant so I went to the ER! My Amylase and Lipase levels were a bit high and they diagnosed me with Acute Pancreatitis! Scared me to death! They didn’t even keep me overnight which was strange! Just told me to cut back on alcohol! I did one even better and completely quit! I continued to feel pain even 6 months later in those same areas despite quitting drinking! My doctor performed blood tests, CT scan, ultrasound, and X-ray! All normal findings! Normally people would be happy but I knew they were missing something! I stopped getting pain up until 2 weeks ago I started getting pain AGAIN in those same exact areas! I made a doctor’s appointment yesterday! It’s been 2 years since my tests that were all normal! Haven’t had a drink since my AP diagnosis! What is going on? I’m so confused!

[mhaas]

I’ve had sporadic upper right quadrant abdominal dull pain for a little over a year. My lipase has been higher than normal when tested but all other blood work, kidney function is good. They (Kaiser) haven't found anything wrong in scans either. I'm 54, I am fit, run, cycling weights, and eat a healthy, no sugar, no alcohol, low carb diet.

[NeillWylie]

I've had consistent RUQ pain for about 12 years now. Mention to my doctor most times I'm there. Had an ultrasound about 10 years ago and have been ignored since.

[donutz]

Whenerver Im on my bed and I lean on my left or right side it hurts on my upper right part of my body

[nyx]

My right upper abdomen hurts until now. It's starts last night, I couldn't lay down properly, sit properly and my breathing is unstable because it's hurts whenever I do help!

[krishanpalkaidwal]

I have been feeling very sharp often in the right lower side of rib cage. A tiny lump is also visible at the spot of the rib cage. When I press it feels sharp pain. I don't know what it is. Please help me.

[tammyjay]

OMG I needed this so bad!!! Thank you for your expertise :)

[theanxiousbench]

Can you please offer me some advice, I have had pain underneath my rib cage and sternum area as well. I had my gallbladder removed a couple of years ago as well. I had an endoscopy, MRI, and Kat scan so far and nothing is showing. I have this terrible burning sensation and cramping feeling on my right upper quadrant area. If I strain in a workout it aggravates it, and also when I eat.
I just don't know what to do? It hurts when I am sitting down, and when I tie my shoes the bending forward seems to pinch the area. At times I can press the burning spot. It's very uncomfortable.
Thank you for any help you might have!

Jeff

[jmrmusic]

What if the pain is prominent when highly raising the right arm?

[yeopazman]

my patient came with GI bleed. RUQ pain.

[nobodywho]

I'm stubborn and I feel like I'm dieing but won't go to hospital because I've been going and they do nothing my feet are even sore I can barely walk my stomach is on fire

[sars]

I am having aame problem early morning little nit more pain then day started gradually it will be dull pain I don't know what to do i thoought it may be gastic because after aunset I don't eat But i don't for what cause ....sometimes left also and back pain ....

[atxelmaschingon]

Bro what do I do to make me feel better

[EmpireProd]

My ultrasound said unremarkable, whats that

[juliosandoval]

I've been tested for hpylori 4 times, lost 200 pounds just got my gallblader and apendix taken out why I have upper abdomen pain

[marandalejeune]

Guys I'm only 25 an I'm feeling alot of pain in the right upper quadrant, I haven't made a doctor's appointment yet bc it's just starting to hurt like really bad I mean within minutes me moving around I started feeling this pain Everytime I barely press it it hurts and overall so uncomfortable it's hard not to think about it when I'm doing everyday activities .

[GS-cgyn]

CT scan, bloodwork, & 3 MRIs - still no answers. Making monthly payments on the tests, though.