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Abdominal Masses



    • Feel For

      A palpable mass within the abdomen, noting its:
    • Location
    • Size
    • Shape
    • Consistency
    • Mobility
    • Causes of Abdominal Mass

    • Gastrointestinal - faecal loading, tumour, bezoar, appendiceal abscess, diverticular abscess
    • Hepatobiliary - hepatomegaly, gallbladder enlargment
    • Pancreatic - pancreatic cancer
    • Renal - polycystic kidney disease, transplanted kidney, renal cell carcinoma
    • Vascular - abdominal aortic aneurysm
    • Hernia
    • Lymphoma
    • Interpretation

    • Right hypochondriumHepatomegaly, gallbladder enlargement, pancreatic head carcinoma
    • Left hypochondriumPancreatic tumour, gastric tumour
    • Right lumbarRenal tumour, polycystic kidney
    • UmbilicusAbdominal aortic aneurysm, umbilical hernia
    • Left lumbarRenal tumour
    • Right iliac fossaTransplanted kidney, appendiceal abscess, caecal tumour, hernia, faecal loading
    • HypogastriumUrinary retention, faecal loading, sigmoid tumour
    • Left iliac fossaDiverticular abscess, sigmoid tumour, hernia, faecal loading
    • FlankRenal cyst / tumour, retroperitoneal lymphoma
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