中国医科大学：《诊断学》课程教学课件（PPT讲稿）percussion

The Physical Examination of Abdomen 2nd Affiliated Hospital China Medical University 内科郑长青

The Physical Examination of Abdomen 2 nd Affiliated Hospital China Medical University 内科 郑长青

4.Palpation of masses the masses of abdomen may be caused by enlarged organ ectopic organ cyst carcinoma inflammatory tissues enlarged lymphnode

4. Palpation of masses the masses of abdomen may be caused by enlarged organ ectopic organ cyst carcinoma inflammatory tissues enlarged lymphnode

(1)Normal masses of abdomen tendon of abdominal rectus lumber vertebral body sacral promontory sigmoid colon transverse colon cecum

(1)Normal masses of abdomen tendon of abdominal rectus lumber vertebral body sacral promontory sigmoid colon transverse colon cecum

(2).Abnormal mass of abdomen when you palpate the mass of abdomen you should describe the location size contour consistency tenderness pulsation mobility

(2).Abnormal mass of abdomen when you palpate the mass of abdomen you should describe the location size contour consistency tenderness pulsation mobility

The location of mass The mass usually originate from located organ,where you find a mass where the organ has lesion.If the location of mass is variable,the mass may originate from omentum, mesentery,or with stalk

The location of mass The mass usually originate from located organ, where you find a mass where the organ has lesion. If the location of mass is variable, the mass may originate from omentum, mesentery, or with stalk

big mass without intestinal obstruction,the mass originate from mesentery peritoneum omentum postperitoneum

big mass without intestinal obstruction, the mass originate from mesentery peritoneum omentum postperitoneum

The size of mass The mass should be measured with a ruler to see how big it is,but sometimes the measurement is difficult,such as deep mass,small mass so you can estimate the size of mass,comparing with something like peanut,bean,egg, fist,baby's head and so on

The size of mass The mass should be measured with a ruler to see how big it is, but sometimes the measurement is difficult, such as deep mass, small mass so you can estimate the size of mass, comparing with something like peanut, bean, egg, fist, baby`s head and so on

Big mass usually indicate cyst such as ovarian cyst,hepatic cyst or polycystic kidney. Intestinal tumor usually accompanied with intestinal obstruction.Mass with variable size indicates spasm of intestinal segment

Big mass usually indicate cyst such as ovarian cyst, hepatic cyst or polycystic kidney. Intestinal tumor usually accompanied with intestinal obstruction. Mass with variable size indicates spasm of intestinal segment

The contour of mass the outline of mass is clear or not the surface is smooth or not the margin is sharp or blunt ※round and smooth mass indicate a cyst

The contour of mass ※ the outline of mass is clear or not ※ the surface is smooth or not ※ the margin is sharp or blunt ※ round and smooth mass indicate a cyst

Irregular,nodular,hard mass indicate malignant tumor A soft cystic mass in right hypochondrial region indicate distended gallbladder A mass with notch in left upper quadrant indicate splenomegaly

※ Irregular, nodular, hard mass indicate malignant tumor ※ A soft cystic mass in right hypochondrial region indicate distended gallbladder ※ A mass with notch in left upper quadrant indicate splenomegaly