Palpation of the pancreas
In a healthy person, who has no complaints about the functioning of the pancreas, to probe it rarely works.
Only 1% of the men with the help of deep palpation palpable pancreas in women the figure higher, at 4%.
In addition to clinical examination, palpation of the pancreas is very important. The procedure should be carried out correctly, since the organ is located deep in the abdominal cavity and is inaccessible.
How is the inflamed organ palpable?
In acute pancreatitis, palpation is very painful. Often put an erroneous diagnosis, suspecting a perforated ulcer of the stomach or duodenum. The study interferes with the strong muscular tension of the abdominal wall, so with great attention should be paid to the diagnosis of acute pancreatitis.
In chronic inflammation of the pancreas, it can be palpated in half of the patients. Only at the initial stage of exacerbation of iron is increased in size, then it is not felt so distinctly.
The area of palpation is the area of great curvature of the stomach and the transverse colon. They are determined early, so as not to confuse later with the pancreas. The palpation is made along the axis of the gland, along a horizontal line, which is visually carried higher by the thickness of the finger from the large curvature of the stomach.
The study is performed on an empty stomach. With a deep exhalation of the patient, carefully insert the tips of the half-bent fingers into the abdominal region. If the organ is healthy, then there are no painful sensations and the gland is either not probed, or a fixed cylindrical shape with a small diameter.
When inflammation of the body or elastic doughlike consistency if iron with edema. The pain at palpation gives in a back and at an inclination of a trunk forward amplifies.
If the patient lay on his back and turning it to the left side, the pain decreases, it indicates that pancreatic lesions.
When the attack of acute pancreatitis often disappears pulsation of the abdominal aorta is the so-called symptom of Voskresensky. The tension in the abdominal cavity in the area of the projection of the organ on the front wall is called the Kerta symptom.
If there is a tumor of the gland or cyst, the organ is enlarged, painful, the surface is tuberous. Tumor of the head or tail is much easier to palpate than the body.
Painful points
There are control points on the front abdominal wall for probing the areas of the organ. If the head of the pancreas is damaged, soreness will be manifested at the point of Desjardins.
To determine this point, you must visually draw a line from the navel to the right axillary cavity. At a distance of about 6 cm from the navel along this line and this point will be located.
The defeat of the tail of the pancreas will reveal a painful sensation at the Mayo-Robson point. To determine it visually connect the navel and the middle of the costal arch to the left. Conditionally dividing the line into 3 parts, the point that falls on the boundary of the middle and outer segments will be the Mayo-Robson point.
The fact that in the pancreas of pathological changes happen indicates soreness when tapped on the left side of the lumbar region palm edge, or along the body line location in the left armpit.
For correct diagnosis and successful treatment, it is necessary to conduct a competent examination of the patient and perform palpation of the gland. This shows a clear picture and important information about the condition of the organ and helps to accurately diagnose.
