The Presentation Of Abdominal Pain - 1504 Words

A COMMON PRESENTATION IN AN UNCOMMON DISEASE; RIGHT UPPER QUADRANT PAIN †¢ INTRODUCTION The presentation of abdominal pain is a common one, it is very non-specific and can be challenging to diagnose. When abdominal pain is localized to the right upper quadrant (RUQ), a broad range of differentials come to mind in relation to the underlying organs in that region. These differentials are narrowed down based on other parts of the history like the onset and duration of the pain, age, sex, associated symptoms like fever, nausea, vomiting etc, and comorbid conditions. Right upper quadrant pain can be benign but it can also signal serious pathology. Early diagnosis is key to preventing serious complications. This case presentation aims to highlight a presentation of right upper quadrant abdominal pain in a 36-year-old male which heralded a more sinister pathology despite the absence of risk factors. †¢ CASE REPORT A 35 year old African-American male with a past medical history of hepatic hemangioma and borderline hypertension presented with a one-week of intermittent fevers and progressively worsening sharp right upper quadrant abdominal pain. Associated symptoms are chills, night sweats and fatigue. He denied any recent sick contacts, recent travel or changes in his water source. He denied weight loss, cough, nausea, vomiting, chest pain, shortness of breath, dysuria, hematuria, headache, changes in stool, blurry vision, and no joint pain. 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The patient stated eight out of ten (8/10) pain located inferior to the umbilical region to right iliac, that came on suddenly after urination. Pain was worse on movement