Abdominal pulse check

Abdominal pulsation is an auxiliary diagnosis to check whether the function of the abdominal organs is normal and the diseases it produces. The abdominal pulsation is divided into the pulsation of the upper abdomen and other places, and the pulsation of each part and the clinical significance of the representative are different. Abdominal pulsatile mass was found, which may have diseases such as abdominal aortic aneurysm and acute suppurative appendicitis. Aneurysms are caused by lesions or lesions in the arterial wall, resulting in localized bulging, with pulsatile mass as the main symptom, which can occur in any part of the arterial system. The main artery of the limb, the abdominal aorta and the carotid artery are more common. Basic Information Specialist classification: Digestive examination classification: other examinations Applicable gender: whether men and women apply fasting: not fasting Tips: Before the examination, taboo strenuous exercise, emotional stress, other medications, diet and so on. Normal value The normal liver does not touch the pulsation, and the hepatomegaly caused by inflammation, tumor, etc. itself is not accompanied by pulsation. Clinical significance Abnormal result 1. The swelling of the umbilical cord or the left upper abdomen is the main basis for the clinical diagnosis of abdominal aortic aneurysm. 2, the history of the original abdominal pulsatile mass, when the aforementioned symptoms, should consider the diagnosis of abdominal aortic aneurysm with internal hemorrhoids, rupture and bleeding, distal arterial embolization. 3, abdomen pulsation is seen in the abdominal aorta or its branches of aneurysm and hepatic hemangioma. 4. When the right ventricle is enlarged, the upper abdomen can see obvious pulsation when inhaling. In the case of severe tricuspid regurgitation, a hematoma swollen liver pulsation can be seen in the upper abdomen. People who need to be examined: those with expansive pulsatile lumps in the umbilical or upper left abdomen, patients with acute hepatitis, and patients with hepatomegaly during chronic hepatitis. Precautions Taboo before the examination: avoid vigorous exercise, emotional stress, other medications, diet, etc. without contraindications. Requirements for examination: the patient has a low pillow and the upper limbs are naturally placed on both sides of the body; the abdomen is fully exposed, the doctor examines the patient under soft light, the examiner is on the right side of the subject, and the order of examination is from top to bottom, from deep To the shallow. Inspection process First, the patient has a low pillow and the upper limbs are naturally placed on both sides of the body; the patient is fully exposed to the abdomen, and the doctor examines the patient under soft light. The examiner is on the right side of the subject and presses from top to bottom, from deep to shallow. The order is checked. The inspection methods are as follows: 1 Ultrasound examination: It can describe the size of the tumor and the presence or absence of atheromatous plaque and wall thrombus in the tumor wall, especially for the examination of active tumor of the lower abdomen. 2 Abdominal aortic angiography or digital subtraction angiography (DSA): can detect the size and extent of abdominal aortic aneurysm, whether the main branch of the abdominal aorta is involved, to provide a basis for the diagnosis and decision of the surgical plan. 3CT examination: It is possible to check whether there is a dissection artery, the relationship between the aneurysm and the surrounding organs, and exclude diseases of other organs in the abdominal cavity. Not suitable for the crowd Inappropriate people: All are suitable for the crowd. Adverse reactions and risks Nothing.

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