Haem Exam

 
 
 

The Patient

The Hands

The Arms

The Face

The Neck

The Chest

The Abdomen

The Pelvis

The Back

The Legs

 
 
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Masses

 
 
    • Feel For A palpable mass within the abdomen, noting its:
    • Location
    • Size
    • Shape
    • Consistency
    • Mobility
Abdominal Mass
  • Right hypochondrium - liver, gallbladder, head of pancreasHepatomegaly, gallbladder enlargement, pancreatic head carcinoma
  • Epigastrium - pancreas, stomachPancreatic tumour, gastric tumour, colonic tumour, bezoar
  • Left hypochondrium- spleen, pancreas, stomach, colonPancreatic tumour, gastric tumour
  • Right lumbar - ascending colon, kidneyRenal tumour
  • Umbilicus - small bowel, aortaAbdominal aortic aneurysm, umbilical hernia
  • Left lumbar - descending colon, kidneyRenal tumour
  • Right iliac fossa - appendix, caecum, ovaryAppendiceal abscess, caecal tumour, hernia, faecal loading
  • Hypogastrium - uterus, bladder, sigmoid colonUrinary retention, faecal loading, sigmoid tumour
  • Left iliac fossa - sigmoid colon, ovaryDiverticular abscess, sigmoid tumour, hernia, faecal loading
  • Flank - kidney, retroperitoneumRenal cyst / tumour, retroperitoneal lymphoma
  • Ovarian masses are not appreciable by abdominal palpation. Even the largest of ovarian mass may only be palpable by bimanual examination.
 
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