Abdominal examination by palpation for swelling

Abdominal examination by palpation for swelling

abdominal examination for swelling if a palpable swelling is present we must note its general characters as position size shape surface edge consistency mobility and movement on respiration the swelling may be an enlarged organ as in spleen kidney liver and gall bladder or tumour as in carcinoma of colon the sausage-shaped swelling of the intussusception or
tense tympanitic balloon of volvulus in intestinal obstruction the distended loo[s of bowel may felt to harden and soften under fingers also we palpated the hernial orifices examine the hernial orifices as umbilical inguinal and femoral very carefully in strangulated hernia the signs ad symptoms of intestinal obstruction may overshadow the local signs in the hernia itself and unless these are routinely looked for a wrong diagnosis will be made also we palpated for area of hyperaesthesia an irritive focus inside the abdomen may so sensitive the segment of the cord from which it is supplied that other stimuli noteably cutaneous stimuli reaching the segment give rise to an exaggerated response these hyperaesthetic skin area nay be present in many cases of acute abdomen as in 1- appendicitis hyperaethesia affect sherren,s triangle which is the area bounded by lines joining the umbilicus right anterior superior iliac spine and symphysis pubis 2- in cholecystitis there is may be area of hyperaesthesia between the ninth and eleventh ribs posteriorly on the right side boas,s sign 3- in renal conditions a band of hyperaesthesia may extend from the renal angle to the symphysis pubis parallel to

course of the ureter 4- in salpingitis two ovad

areas of hyeraesthesia may be present in the hypogastrium one on either side of the m iddle line hyperaesthesia is elicited by stroking the skin with a pin or better by picking up a fold of skin ad subcutaneous tissue between the finger and thumb   

tags :examination,palpation,abdomen,swelling