Protocolo diagnóstico del paciente con fiebre y dolor en hipocondrio derecho
- Molina Pérez, Esther
- Fernández Castroagudín, Javier
- Domínguez Muñoz, J. Enrique
ISSN: 0304-5412
Year of publication: 2012
Issue Title: Enfermedades del aparato digestivo (VIII): patología pancreática y biliar
Series: 11
Issue: 8
Pages: 510-513
Type: Article
More publications in: Medicine: Programa de Formación Médica Continuada Acreditado
Sustainable development goals
Abstract
In patients with fever and pain in upper right quadrant of the abdomen, the priority is to evaluate the existence of a medical condition that requires urgent medical or surgical treatment. Although these signs and symptoms suggest a hepatobiliary disease, mainly acute cholecystitis, cholangitis or liver abscess, pulmonary, renal or colonic diseases must not been forgotten. A detailed medical interrogatory and a careful physical examination, supported by haematological and biochemical tests, chest and abdominal X-ray, and abdominal ultrasonography, are essential in order to reach an accurate diagnosis and to evaluate the severity of the disease.