Fitz Hugh Curtis Syndrome (Acute Gonococcal Perihepatitis}: Incorrect

In a sexually active female, RUQ could be an unusual manifestation of a gonorrhea infection. This RUQ pain is due to the spread of infection in a cephalad direction up the right peritoneal gutter. Adhesions between the liver and parietal peritoneum may result. Typically these patients have high fever with severe RUQ pain. Clues to the diagnosis include vaginal discharge or adnexal tenderness. A previous history of pelvic inflammatory disease should alert one to the diagnosis. Patients usually respond well to IV antibiotics.

Mrs. Jones denies any unusual vaginal discharge and had a normal pelvic exam. Therefore, it is unlikely her RUQ pain is due to Fitz Hugh Curtis syndrome.

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