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Related Concept Videos

Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
472
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

107
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

4.5K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Related Experiment Video

Updated: Jul 29, 2025

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
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ACR Appropriateness Criteria® Right Upper Quadrant Pain: 2022 Update.

, Gregory K Russo1, Atif Zaheer2

  • 1University of Connecticut, Farmington, Connecticut.

Journal of the American College of Radiology : JACR
|May 26, 2023
PubMed
Summary
This summary is machine-generated.

Acute right upper quadrant pain evaluation requires considering biliary and extrabiliary sources. This review assesses imaging study accuracy for diagnosing causes of right upper quadrant pain, guiding appropriate diagnostic pathways.

Keywords:
AUCAbdomenAcute cholecystitisAppropriate Use CriteriaAppropriateness CriteriaGastrointestinalImagingPainRight upper quadrant

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Area of Science:

  • Radiology
  • Gastroenterology
  • Emergency Medicine

Background:

  • Acute right upper quadrant pain is a common emergency department presentation.
  • Gallstone-related acute cholecystitis is a primary diagnostic consideration.
  • Extrabiliary sources (hepatic, pancreatic, gastroduodenal, musculoskeletal) must also be evaluated.

Framework:

  • Focuses on the diagnostic accuracy of imaging studies for acute right upper quadrant pain.
  • Discusses various imaging modalities including radiographs, ultrasound, nuclear medicine, CT, and MRI.
  • Utilizes ACR Appropriateness Criteria, evidence-based guidelines developed by a multidisciplinary expert panel.

Implementation:

  • Reviews current medical literature from peer-reviewed journals.
  • Applies established methodologies like RAND/UCLA Appropriateness Method and GRADE.
  • Incorporates expert opinion when evidence is lacking or equivocal.

Implications:

  • Aims to optimize diagnostic accuracy for right upper quadrant pain.
  • Provides guidance for selecting appropriate imaging studies.
  • Supports evidence-based decision-making in clinical practice.