Clinical diagnosis of abdominal mass.docVIP

 PAGE \* MERGEFORMAT 10 Clinical diagnosis of abdominal mass [Abstract] abdominal mass as a manifestation of many diseases, most require surgical means of abdominal mass treatment, however, before determining the treatment plan must be as clear as possible the source and nature of mass, that is to clear the abdomen mass diagnosis. abdominal mass in the diagnosis and differential diagnosis of surgical thinking must be followed. [Keywords:] abdominal mass, ultrasound diagnosis of pathological diagnosis 1 clearly is true or false mass mass Easy to some of the normal clinical anatomy and physical phenomena mistaken for abdominal mass, must be carefully distinguished: ① Long-term accumulation of feces in the sigmoid colon constipation, palpation palpable in the left lower abdomen to the long strip of “mass” After cleansing enema “mass” disappeared. ② patients with acute urinary retention in the abdomen below the bladder palpable increase in the lower abdomen and be mistaken for “mass”, catheterization after “mass” disappeared. ③ palpable in the lower abdomen of women of childbearing age and to the mass, should pay attention to the pregnant uterus, menstrual history, and urine pregnancy test can help diagnose. ④ inguinal hernia, femoral hernia, umbilical hernia contents highlight when the corresponding position in the palpable mass, but its mass can be reused satisfied, abdominal pressure increased, the mass increases, the patient coughing, palpable sense of mass has an impact, if the contents of the intestine, bowel sounds can still smell. In addition, a number of normal anatomical structures such as slender body of the patient Cullen palpable in the lumbar spine and to highlight the misconception that “mass.” 2 clear layers of abdominal mass Abdominal mass in the abdominal wall, the location of superficial, easy to reach, with the abdominal wall can be moved to tighten the abdominal muscles when the patient, the mass is more obvious, the abdomina