Pathophysiological Discussion

Running head: PATHOPHYSIOLOGICAL DISCUSSION 1
Pathophysiological Discussion:
Name:
Institution Affiliation:
Date:
PATHOPHYSIOLOGICAL DISCUSSION 2
The patient
The patient has a complete blood work, full metabolic levels, and her urine is normal. She
works as a nursing aid and lives home with her kids. She has not experienced depression,
anxiety, and stress recently.
Etiology
The Right Upper Quadrant Abdominal pain cause mostly arises from organs around the
upper right abdomen, although, some distant organs are also involved. These causes include
gallstones, abnormal accumulation of fats in the liver cells, colitis or inflammation of the colon,
pneumonia in the right lung, inflammation of the right kidney, constipation and inflammation of
the stomach.
Epidemiology
The Centers for Disease Control and Prevention in 2010 reported that more than 10
million cases were recorded in the United States emergency rooms for abdominal pain. In about
a third of the cases, the cause is not determined, and about 10% of the cases have a serious origin
like gallstones, biliary dyskinesia, and diverticulitis. Women are the most affected by the right
upper quadrant pains than men because they are mostly affected by gallstones as compared to
men (Taylor, Beck, & Meer, 2015).
Pathophysiology
When the stomach becomes irritated due to prolonged use of aspirin, consumption of
alcohol or infection, gastritis occurs. This is an inflammation of the stomach experienced at the
upper right quadrant that causes abdominal pain. The key role of the liver is to remove toxins
from the blood, but when it is infected, it causes abdominal pain and specifically to the right
upper quadrant abdominal pain. The infection of the pancreas leads to upper abdominal pain that
PATHOPHYSIOLOGICAL DISCUSSION 3
sometimes radiates to other parts of the stomach and worsens after eating; these infections leads
to upper quadrant abdominal pains. The peptic and gastric ulcers which are common in the
United States also contribute a lot to the Right Upper Quadrant pains; these pains do come and
go and are mostly attributed to having an empty stomach and eating of spicy food.
Clinical manifestations
The pains in the upper right quadrant are mainly short-lived but sometimes can be severe
and persistent, which may require surgical prevention. The patient experiences nausea,
abdominal distention, vomiting, and fever. The gallbladder is located on the upper right
quadrant, the formation of gallstones blocks bile flow out of the gallbladder which leads to it
stretching, thus, the right upper quadrant pain. Excessive alcohol consumption and abnormal
accumulation of fats in the liver cells leads to liver inflammation (Edwards, Mullenbach, &
Chamberlain, 2014). Infections also from the female reproductive organs may spread to the liver
capsule causing pain in the RUQ. Other symptoms include; jaundice, abnormal respiration, skin
rashes, and depression.
Medical and surgical management
Medical management for RUQ pains includes prevention of complications of the organs
surrounding RUQ. Complications affecting the lungs, kidneys, liver and the gallbladder should
be managed since the RUQ pains emanate from this organs. For uncomplicated cases, the initial
therapy should entail bowel rest and intravenous antibiotics while complicated cases should
undergo emergent operative intervention to avoid severe complications (Misra, 2011).
Reduction of alcohol intake and use of aspirin should be recommended to avoid gastritis which is
one of the leading causes of RUQ.
PATHOPHYSIOLOGICAL DISCUSSION 4
Complications
These RUQ pains may lead to cholecystitis which is a condition arising from acute
infection and inflammation of the gallbladder (Misra, 2011). Other complications include
myocardial ischemia, local chest, right adrenal lesions and abdominal wall lesions.
Patient’s prognosis
The patient does not show the signs of Right Upper Quadrant pain symptoms and
therefore she is not suffering from RUQ pain. This pain may be associated with physiological
labor pains or after birth pains which are common in pregnant women. She shows signs of
improvement, and therefore, she can be discharged.
PATHOPHYSIOLOGICAL DISCUSSION 5
References
Misra, S. (2011). Is Biliary Scintigraphy a Reliable Diagnostic Tool For Biliary Dyskinesia in
Children? Journal of Clinical Gastroenterology, 45(9), 814-817.
http://dx.doi.org/10.1097/mcg.0b013e31820fecff
Edwards, M., Mullenbach, B., & Chamberlain, S. (2014). Pain Provocation and Low Gallbladder
Ejection Fraction with CCK Cholescintigraphy Are Not Predictive of Chronic Acalculous
Gallbladder Disease Symptom Relief After Cholecystectomy. Dig Dis Sci, 59(11), 2773-
2778. http://dx.doi.org/10.1007/s10620-014-3213-4
Taylor, T., Beck, S., & Meer, J. (2015). Emergency Ultrasound: Evaluating Right Upper
Quadrant Abdominal Pain. Emergency Medicine, 461-462.
http://dx.doi.org/10.12788/emed.2015.0022
PATHOPHYSIOLOGICAL DISCUSSION 6
PATHOPHYSIOLOGICAL DISCUSSION 7

Place new order. It's free, fast and safe

-+
550 words

Our customers say

Customer Avatar
Jeff Curtis
USA, Student

"I'm fully satisfied with the essay I've just received. When I read it, I felt like it was exactly what I wanted to say, but couldn’t find the necessary words. Thank you!"

Customer Avatar
Ian McGregor
UK, Student

"I don’t know what I would do without your assistance! With your help, I met my deadline just in time and the work was very professional. I will be back in several days with another assignment!"

Customer Avatar
Shannon Williams
Canada, Student

"It was the perfect experience! I enjoyed working with my writer, he delivered my work on time and followed all the guidelines about the referencing and contents."

  • 5-paragraph Essay
  • Admission Essay
  • Annotated Bibliography
  • Argumentative Essay
  • Article Review
  • Assignment
  • Biography
  • Book/Movie Review
  • Business Plan
  • Case Study
  • Cause and Effect Essay
  • Classification Essay
  • Comparison Essay
  • Coursework
  • Creative Writing
  • Critical Thinking/Review
  • Deductive Essay
  • Definition Essay
  • Essay (Any Type)
  • Exploratory Essay
  • Expository Essay
  • Informal Essay
  • Literature Essay
  • Multiple Choice Question
  • Narrative Essay
  • Personal Essay
  • Persuasive Essay
  • Powerpoint Presentation
  • Reflective Writing
  • Research Essay
  • Response Essay
  • Scholarship Essay
  • Term Paper
We use cookies to provide you with the best possible experience. By using this website you are accepting the use of cookies mentioned in our Privacy Policy.