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腹部包块(Abdominal mass)
腹部包块(Abdominal mass)
The left lower abdomen may touch the tenderness lump, which symptom is confused with easily?
The differential diagnosis of tenderness masses in the left lower abdomen:
Abdominal wall mass
When a tumor is found in the abdomen, the abdominal wall mass or the abdominal mass should be first determined. The abdominal wall lesions such as lipoma, subcutaneous nodules, abdominal abscess, umbilical cyst, location of superficial, can move along with the abdominal wall, when patients sitting or tighten the abdominal muscles, was more significant when the tumor is not obvious abdominal muscle relaxation. Examination of patients in supine position when sitting, such as the mass is still clear, palpable abdominal wall mass. Such as the abdominal mass, often can not touch.
Two 、 right upper abdominal mass
(I) liver enlargement;
(two) enlargement of gallbladder;
1, acute cholecystitis, about 1/3 of patients can touch the swelling gallbladder. It is not difficult to diagnose the disease. Patients often suffer from fever, chills, nausea, J vomiting, abdominal distension and right upper quadrant pain. Severe abdominal pain, intermittent intensification, can radiate to the right shoulder. The right upper abdomen may have tenderness and muscle tension plus positive. Some patients with jaundice. Diagnosis can be made based on the above signs and symptoms.
2. Hydronephrosis is caused by a chronic chemical inflammation. Because of the obstruction of the cystic duct, bile is retained in the gallbladder and the bile pigment is absorbed, causing chemical irritation and chronic inflammation.
Abdominal examination can touch the enlarged gallbladder, with mild tenderness or tenderness, and clinical diagnosis is difficult. Type B ultrasonography and CT examination can assist in the diagnosis. The diagnosis of this disease depends on surgical exploration.
3, cholestasis gallbladder enlargement due to extrahepatic biliary obstruction caused by cholestasis gallbladder swelling,
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