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Signs
 
 

Abdominal Masses

 
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Overview

  • 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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