Tintinalli's Emergency Medicine > Section 9 ...

Most of the remainder complain of diffuse pain in the upper half of the abdomen, and among those with pain in the lower abdomen, it is almost invariably in the RLQ. Among the one-third who do not have RUQ tenderness, the distribution is about equally divided among the upper half, the right side, and generalized tenderness throughout the belly. ................
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