J腹部检查BVIP免费

1physicalexaminationphysicalexamination腹部检查腹部检查(2)(2)AbdominalExaminationAbdominalExaminationpalpatemasspalpatemass腹部包块触诊腹部包块触诊percussionandauscultatipercussionandauscultationon腹部叩诊和听诊腹部叩诊和听诊signsofcommondiseasesignsofcommondiseasess腹部常见疾病征象腹部常见疾病征象2AbdominalMassesAbdominalMasses腹部包块腹部包块PhysicalmassPhysicalmassInabdominalwallInabdominalwallInabdominalcavityInabdominalcavityPathologicalmassPathologicalmassswellingoforganswellingoforganInflammatoryInflammatorymassesmassesTumorTumor生理包块生理包块腹壁包块腹壁包块腹腔包块腹腔包块病理包块病理包块脏器肿大脏器肿大炎性包块炎性包块肿瘤肿瘤3PhysicalMassesPhysicalMasses生理性包块生理性包块Abdominalwall:ventermuAbdominalwall:ventermusculiortendinousintersectsculiortendinousintersectionsofmusculusrectusabionsofmusculusrectusabdominisdominis腹壁腹壁::腹直肌肌腹及腱划腹直肌肌腹及腱划Abdominalcavity:lumbarAbdominalcavity:lumbarcentrum,sacralpromontorcentrum,sacralpromontory,abdominalaorta,inferioy,abdominalaorta,inferiorpoleofrightkidney,tranrpoleofrightkidney,transversecolon,sigmoidcolosversecolon,sigmoidcolon,cecumn,cecum腹腔腹腔::腰椎体腰椎体骶骨岬骶骨岬腹主腹主动脉右肾下极动脉右肾下极横结肠乙状结肠盲肠横结肠乙状结肠盲肠4PathologicalMassesPathologicalMasses病理性包块病理性包块ShiftingorswellingofparenchymatousorgShiftingorswellingofparenchymatousorganan实质性脏器肿大实质性脏器肿大DistensionofhollowviscusDistensionofhollowviscus扩大的空腔脏器扩大的空腔脏器Inflammatorymasses(abscessoradhesion)Inflammatorymasses(abscessoradhesion)炎性包块炎性包块((脓肿或粘连脓肿或粘连))TumororcystTumororcyst肿瘤与囊肿肿瘤与囊肿LymphadenectasisLymphadenectasis淋巴结肿大淋巴结肿大5CharacteristicsCharacteristicsofPalpationofPalpation触诊要点触诊要点Location:relationtoorgansLocation:relationtoorgansSize:diameterinlong,wideSize:diameterinlong,wideandthickandthickContour:shape,marginandContour:shape,marginandsurfacesurfaceTexture:soft,firmandhardTexture:soft,firmandhardTenderness:inflammation,liTenderness:inflammation,liverswellingverswellingPulsation:Pulsation:dilativeandconddilativeandconductiveuctiveMovability:shiftbyrespiratiMovability:shiftbyrespirationorhandonorhand部位部位::所在部位与该所在部位与该处脏器多相关连处脏器多相关连大小大小::纵长横宽深厚纵长横宽深厚可用实物比喻可用实物比喻轮廓轮廓::形状边缘表面形状边缘表面质地质地::柔软中等硬度柔软中等硬度质硬质硬压痛压痛::炎症肝肿大炎症肝肿大搏动搏动::膨胀性和传导膨胀性和传导性性移动度移动度::随呼吸移动随呼吸移动用手推动用手推动6FluidThrillFluidThrill液波震颤液波震颤Technique:moveflankwallTechnique:moveflankwallbyhandbyhand检查方法检查方法::用手推动一侧腹壁用手推动一侧腹壁Positive:theotherhandfeelPositive:theotherhandfeelsliquidwavesliquidwave阳性征象阳性征象::对侧手掌感到液体对侧手掌感到液体波动波动Meaning:largeMeaning:largevolumeofasvolumeofascites,usually>3000mlcites,usually>3000ml临床意义临床意义::大量腹水在大量腹水在3~43~4升升以上以上7PercussionofAbdomePercussionofAbdomenn腹部叩诊腹部叩诊organsintheabdomeorgansintheabdomenn脏器叩诊脏器叩诊fluidintheabdomenfluidintheabdomen腹水叩诊腹水叩诊8OrgansPercussionOrgansPercussion脏器叩诊脏器叩诊Percussionnotes:indirectpercussionPercussionnotes:indirectpercussion叩诊音叩诊音::间接叩诊间接叩诊Tympany:hollowviscusasTympany:...