R10.811 Right upper quadrant abdominal tenderness

ICD10CM code

#### Name of the Condition
- Right Upper Quadrant Abdominal Tenderness
- ICD-10 Code: R10.811

#### Summary
Right upper quadrant abdominal tenderness refers to pain or discomfort in the upper right section of the abdomen. This area houses several vital organs, including parts of the liver and gallbladder, making careful assessment crucial in diagnosis.

#### Causes
- Gallstones or gallbladder disease
- Liver inflammation or injury (such as hepatitis)
- Biliary tract issues
- Pancreatic inflammation
- Gastrointestinal infections or disorders

#### Risk Factors
- History of gallstones or liver disease
- High-fat diet
- Obesity
- Chronic alcohol use
- Older age can increase susceptibility due to associated conditions

#### Symptoms
- Sharp or dull pain in the upper right abdomen
- Pain may radiate to the back or right shoulder
- Nausea or vomiting
- Jaundice (yellowing of the skin or eyes) in severe cases

#### Diagnosis
- Physical examination focusing on pain during palpation
- Blood tests to assess liver function
- Ultrasound or CT scan imaging to identify gallstones or liver abnormalities

#### Treatment Options
- Pain management with medications such as NSAIDs
- Treating underlying causes like gallstones with dietary changes or surgery
- Antibiotics if an infection is present
- Lifestyle changes to manage symptoms and prevent recurrence

#### Prognosis and Follow-Up
- Prognosis depends on the underlying cause and treatment efficacy
- With proper management, many underlying conditions are treatable
- Regular follow-ups with healthcare professionals to monitor and manage the condition

#### Complications
- Chronic pain
- Infection spreading to other body parts
- Severe liver injury or deterioration

#### Lifestyle & Prevention
- Maintain a healthy diet low in fats and high in fiber
- Regular physical activity
- Limit alcohol consumption
- Maintain a healthy weight

#### When to Seek Professional Help
- Severe or persistent abdominal pain
- Signs of jaundice
- High fever accompanying pain

#### Additional Resources
- American College of Gastroenterology (ACG)
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
- Local health clinics or patient support groups

#### Tips for Medical Coders
- Ensure accuracy by correlating symptoms with specific underlying conditions
- Cross-reference with history and diagnostic test results to avoid confusion with other abdominal conditions
- Avoid common coding errors by double-checking for secondary codes if specifying an associated disease

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