Download MBBS General Surgery PPT 12 Hypochondrial Lump Lecture Notes

Download MBBS (Bachelor of Medicine, Bachelor of Surgery) General Surgery PPT 12 Hypochondrial Lump Lecture Notes


APPROACH TO A PT OF RT

HYPOCHONDRIAL LUMP
HISTORY

PHYSICAL EXAMINATION

INVESTIGATIONS

PROCEDURE LIKE EXPLORATION

HISTOPATHOLOGY

HISTORY

AGE
SEX
PAIN
VOMITINGS
MOTIONS
URINATION
FEVER
PHYSICAL EXAMINATION

GENERAL

SYSTEMIC

LOCAL

GENERAL PHYSICAL EXAM

APPEARANCE

EMACIATED

ANAEMIC

JAUNDICED

LYMPH NODES
ABDOMINAL EXAMINATION

INSPECTION

PALPATION

PERCUSSION

AUSCULTATION

INSPECTION

ABDOMINAL DISTENTION
VISIBLE PERISTALSIS
OVERLYING SKIN
POSITION,SIZE,SURFACE OF SWELLING
MOBILITY WITH RESPIRATION
HERNIA SITES
SCROTUM
PALPATION

SOFT OR RIGID

TENDERNESS

PALPATION OF LUMP

LOCAL TEMPERATURE
TENDERNESS
CONFIRMING FINDINGS OF

INSPECTION

MARGINS
CONSISTENCY
MOBILITY
PARIETAL,INTRA OR RETROPERITONEAL
PERCUSSION

DULL OR RESONANT

FLUID THRILL

AUSCULTATION

FOR RUB{ PERSPLENITIS OR

PERIHEPATITIS}
INVESTIGATIONS

LABORATORY STUDIES-

ROUTINE,SPECIAL

IMAGING STUDIES

TISSUE DIAGNOSIS-CYTOLOGY,HPE

IMAGING STUDIES

X-RAY
USG
CT
MRI
ERCP
NUCLEAR SCAN
PET
OTHER STUDIES

ENDOSCOPY

ENDOSONOGRAPHY(EUS)

DIFFERENTIAL DIAGNOSIS

SWELLINGS IN ABDOMINAL WALL
SEBACEOUS CYST
LIPOMA
PARIETAL WALL ABSCESS
INTRAABDOMINAL LUMP

HEPATIC
GALL BLADDER
SUBPHRENIC ABSCESS
STOMACH AND DUODENUM
HEPATIC FLEXURE OF COLON
RT KIDNEY
RT SUPRARENAL

HEPATIC

IT MOVES WITH RESPIRATION,NOT

SIDEWAYS

CONTINUOUS WITH LIVER DULLNESS

WITHOUT A BAND OF COLONIC
RESONANCE
HEPATIC

ALA
PYOGENIC ABSCESS
RIEDEL'S LOBE
HYDATID CYST
HEPATOMA
SECONDRIES
CIRRHOSIS

SUBPHRENIC ABSCESS

PAIN RHC REFFERRED TO SHOULDER
TENDERNESS RHC
SIGNS OF SEPTICAEMIA
RAISED DIAPHRAGM WITH GAS ON

XRAY

CAUSATIVE CONDITIONS
LIVER ABSCESS
PERFORATED PEPTIC ULCER
GB LUMP

OVAL,SMOOTH SWELLING,SIZE OF AN

EGG

MOVES WITH RESPIRATION

GB LUMP

CA GALL BLADDER

CA HEAD OF PANCREAS

CHOLEDOCHAL CYST

MUCOCOEL
STOMACH AND DUODENUM

CA STOMACH

CONGENITAL HYPERTROPHIC PYLORIC

STENOSIS

SUBACUTE PERFORATION OF PEPTIC

ULCER

CA STOMACH

IRREGULAR FIRM LUMP

MOVES WITH RESPIRATION

ELDERLY,ANOREXIA AND WT LOSS

BARIUM MEAL--FILLING DEFECT

UPPER GI ENDOSCOPY
SUBACUTE PERFORATION OF

ULCER

LOCALIZED TENDERNESS

INFLAMMATORY MASS

HISTORY OF PEPTIC ULCER

BARIUM MEAL

HEPATIC FLEXURE

PT ABOVE 40 YEARS
CHANGES IN BOWEL HABITS
OCCULT BLOOD
ANAEMIA
LUMP-IRREGULAR,MOVES POORLY

WITH RESPIRATION

COLONOSCOPY
INTUSUSSCEPTION

ABDOMINAL PAIN,VOMITINGS

PASSAGE OF BLOOD AND MUCUS PER

ANUM(RED CURRANT JELLY)

CURVED,SAUSAGE SHAPED LUMP

BARIUM ENEMA--PINCER ENDING OF

RADIOGRAPHIC MATERIAL

KIDNEY SWELLING

BALLOTABLE

RENAL ANGLE IS FULL

SLIGHT MOVEMENT WITH RESPIRATION

PERCUSSION-RESONANT
KIDNEY SWELLING

HYDRONEPHROSIS/PYONEPHROSIS

CARCINOMA

NEPHROBLASTOMA/WILMS TOMOUR

SUPRARENAL SWELLING

LIKE KIDNEY SWELLING

CORTEX/ MEDULLA
ADRENAL CORTEX

HYPERPLASIA

BENIGN ADENOMA

CARCINOMA

ADRENAL MEDULLA

PHEOCHROMOCYTOMA

NEUROMA

NEUROBLASTOMA

This post was last modified on 07 April 2022