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Last updated: September 20, 2025View editorial policy

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Differential Diagnosis for Right Rib Pain and RUQ Pain after a Football Game

Single Most Likely Diagnosis

  • Rib Fracture: The most likely diagnosis given the mechanism of injury (being tackled in a football game) and the location of the pain (right rib and RUQ area). Rib fractures are common in blunt trauma to the chest and can cause significant pain.

Other Likely Diagnoses

  • Muscle Strain: The force of being tackled could also result in strain to the intercostal muscles or abdominal muscles, leading to pain in the right rib and RUQ area.
  • Contusion: A bruise (contusion) to the chest or abdominal wall could also cause pain in the affected area.
  • Pneumothorax: Although less likely without other symptoms, a pneumothorax could occur due to the trauma and cause pain that might be referred to the right rib and RUQ area.

Do Not Miss Diagnoses

  • Hemorrhage or Internal Injury: Internal injuries such as a splenic rupture or liver laceration could present with RUQ pain and must be considered, especially if there are signs of shock or severe abdominal tenderness.
  • Pulmonary Embolism: Although rare in this context, a pulmonary embolism could cause sudden onset of chest pain and must be considered, especially if there are risk factors or other suggestive symptoms.
  • Cardiac Contusion or Myocardial Infarction: Direct trauma to the chest can cause cardiac contusion, and in rare cases, could precipitate a myocardial infarction, both of which are life-threatening conditions.

Rare Diagnoses

  • Diaphragmatic Rupture: A rare but serious condition where the diaphragm is torn, which could cause severe pain and respiratory distress.
  • Gallbladder Injury: Direct trauma to the gallbladder could cause injury, including rupture, which would be a rare but serious condition.
  • Pancreatic Injury: Although rare, pancreatic injuries can occur from blunt abdominal trauma and might present with abdominal pain, including in the RUQ area.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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