Your AG was shot in the RUQ of his back. Which organs do you suspect may be damaged?

When a gunshot wound occurs in the right upper quadrant (RUQ) of the back, the organs most likely to be impacted are the liver and gallbladder. The liver is situated in the RUQ of the abdomen, just beneath the ribs and to the right side of the stomach, making it vulnerable to any trauma in that area. Given its size and vascularization, injury to the liver can lead to significant hemorrhage and is a critical concern in such scenarios.

The gallbladder is located adjacent to the liver and can also be affected by trauma to this region, especially in penetrating injuries. Damage to these organs could not only cause direct injury but also lead to complications such as bile leakage or hemorrhagic shock.

The other choices include organs that are located in different anatomical regions that would not typically be directly affected by a shot to the RUQ of the back. The spleen is in the left upper quadrant, while the intestines and stomach are primarily situated in the midline and left upper quadrant. The kidneys, although located towards the back, are positioned more centrally and would not be the primary concern in a RUQ injury. This anatomical understanding is crucial for assessing injury patterns in trauma patients.