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Symptoms and Signs – Differential Diagnosis of Left upper quadrant (LUQ) Abdominal Pain
Central abdominal (periumbilical)
Colonic cancer (splenic flexure)
Gastrointestinal: intestinal obstruction, early appendicitis, gastroenteritis
Herpes zoster
Medical causes, e.g. diabetic ketoacidosis, uraemia
Pain from adjacent areas, e.g. epigastric, iliac fossae
Pain from adjacent areas: See epigastric (e.g. pancreatitis, peptic ulcer}, Left iliac Fossa pain , loin pain, cardiadpulmonary/pleural pathology, e.g. Ml, pericarditis, pneumonia, empyema, pulmonary infarction
Splenic rupture, splenic infarction (e.g. sickle cell disease), splenomegaly
Subphrenic abscess
Vascular: abdominal aortic aneurysm (leaking, ruptured), mesenteric ischaemia (thrombosis, embolism, vasculitis, e.g. polyarteritis nodosa)
Central abdominal (periumbilical)
Colonic cancer (splenic flexure)
Gastrointestinal: intestinal obstruction, early appendicitis, gastroenteritis
Herpes zoster
Medical causes, e.g. diabetic ketoacidosis, uraemia
Pain from adjacent areas, e.g. epigastric, iliac fossae
Pain from adjacent areas: See epigastric (e.g. pancreatitis, peptic ulcer}, Left iliac Fossa pain , loin pain, cardiadpulmonary/pleural pathology, e.g. Ml, pericarditis, pneumonia, empyema, pulmonary infarction
Splenic rupture, splenic infarction (e.g. sickle cell disease), splenomegaly
Subphrenic abscess
Vascular: abdominal aortic aneurysm (leaking, ruptured), mesenteric ischaemia (thrombosis, embolism, vasculitis, e.g. polyarteritis nodosa)
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