abdominal mass

Abdominal mass examination refers to an auxiliary diagnosis method for checking whether there is a mass in each organ in the abdominal position by palpation. When there are swollen or ectopic organs, inflammatory masses, cysts, enlarged lymph nodes, intragastric stones, and benign or malignant tumors in the abdominal cavity, the mass can be touched. In addition, in the palpation of the abdomen Some normal blocks may be mistaken for intra-abdominal masses. Therefore, the "abdominal pseudotumor" should be distinguished from the pathological mass. Basic Information Specialist classification: Digestive examination classification: other examinations Applicable gender: whether men and women apply fasting: not fasting Tips: Patients should pay attention to diet and rest before examination. Normal value When the normal abdomen palpates, some normal mass may be mistaken for an intra-abdominal mass. Therefore, the "abdominal pseudotumor" should be distinguished from the pathological mass. Clinical significance Abnormal result 1, the common mass in the left upper abdomen: mainly the enlarged spleen and kidney, followed by the transverse spleen cancer and the tumor of the tail of the pancreas. 2, the common mass in the right upper abdomen: most of the liver and gallbladder caused by swelling, kidney swelling and colonic hepatic cancer can also be touched in the right upper abdomen. 3, the common mass of the umbilicus: adhesion block caused by tuberculous peritonitis, mesenteric lymph node tuberculosis or tumor, transverse colon mass and mites group. 4, the common mass in the left lower abdomen: in addition to the fecal mass in the colon, there are sigmoid colon cancer, schistosomiasis, granuloma, left ovary or fallopian tube mass. 5, right lower abdomen mass: mostly cecal, appendix inflammation, abscess and tumor. 6, the common mass of the abdomen should first exclude the inflated bladder, such as women should consider the following: (1) The uterus of pregnancy is spherical, inactive, and has no tenderness. When it is large, it can smell under the umbilicus and fetal heart sounds. Consider the history of amenorrhea. (2) uterine fibroids: uterine fibroids are often asymmetrical, the surface may have nodules, easy to concurrent vaginal bleeding. (3) The texture of uterine cancer is hard and increases rapidly. If the mass is touched outside the above contents, it should be regarded as abnormal and has pathological significance. People who need to be examined: people with uncomfortable abdominal and people undergoing routine physical examination. Precautions Requirements for inspection: 1. The shallow palpation pressure is ≦1cm; the deep palpation pressure is ≧2cm; 2. When the abdomen palpates, let the patient urinate; 3, warm hands, tell the patient the location and purpose of the examination; 4, doctor-patient cooperation; sputum breathing; Inspection process When touching these masses, attention should be paid to the location, size, shape, texture, tenderness, pulsation, mobility, and relationship with the abdominal wall. It is necessary to distinguish whether the mass touched by the abdomen is a abdominal wall mass or an intra-abdominal mass. The method of identification is: when the patient is doing sit-ups, if the mass is still clearly accessible, the abdominal wall mass is covered. If the change is unclear or disappear, it is an intra-abdominal mass. In the case of an intra-abdominal mass, in order to determine whether it is connected to the skin, it is possible to try to pinch the skin and subcutaneous tissue, such as pinching the skin or causing a contraction depression, indicating that there is adhesion between the mass and the abdominal wall. If the local skin and the mass can be freely pinched separately, it means that the mass is not related to the intra-abdominal organ tissue. Not suitable for the crowd Inappropriate people: those with mental disorders. Adverse reactions and risks Nothing.

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