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Left lower quadrant abdominal pain
From WikEM
Contents
Background
- This page describes the general approach to LLQ pain in adults
Clinical Features
- Left lower quadrant abdominal pain
Differential Diagnosis
LLQ Pain
- Diverticulitis
- Kidney stone
- UTI
- Pyelonephritis
- Ectopic Pregnancy
- Infectious colitis
- Inflammatory bowel disease (Crohn's Disease, Ulcerative Colitis)
- Inguinal Hernia
- Mesenteric Ischemia
- Epiploic appendagitis
- Mittelschmerz
- Ovarian cyst
- Ovarian torsion
- PID
- Psoas abscess
- Testicular torsion
- Appendicitis
- Abdominal aortic aneurysm
- Herpes zoster
- Endometriosis
- Colon cancer
- Irritable bowel syndrome
- Small bowel obstruction
Evaluation
Male
- CBC
- Chem
- Urinalysis
- ?CT abd/pelvis (rule out diverticulitis)
- Testicular exam
Female
- CBC
- Chem
- Urinalysis
- Urine pregnancy
- ?Pelvic ultrasound (rule out ovarian torsion) and/or CT abd/pelvis (rule out diverticulitis)
- Pelvic exam
Management
- Treat underlying disease process
Disposition
- Per underlying disease process
