A member asked:

I have 6/10 pain in my upper rt quad spreading to my rt side and back nauseous no appetite rest with heat 3hrs not helping. not sure relevant pain in the underside of my right arm hurts to lift it. don't want to go to er if not necessary?

A doctor has provided 1 answer

RUQ anatomy: Anatomically, the right upper quadrant (RUQ) of the abdomen includes: liver, gallbladder, pancreatic head, bile ducts and ampulla, c-loop of the duodenum, stomach antrum and pylorus, the hepatic flexure of the colon. Don't forget the diaphragm and lower chest are pretty close by. The abdominal musculature, ribs, and skin can all contribute as well to localizing RUQ pain. ER exam is appropriate.

Answered 5/17/2017

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