Hand palpation – patient’s saviour from advanced cancer
Background: Hand palpation is one of the essential steps involved in physical examination for patient presented with abdominal pain. It is essential and had been trained among medical students before eligible to practice as a medical doctor. Gastric tumor if large enough can be suspected from adeq...
Saved in:
Main Authors: | , |
---|---|
Format: | Conference or Workshop Item |
Language: | English English |
Published: |
2020
|
Subjects: | |
Online Access: | http://irep.iium.edu.my/78144/1/Gastric%20tumor%20case%20report.pdf http://irep.iium.edu.my/78144/4/E%20BOOK%201st%20EAST%20COST%20MWHS%202020.pdf http://irep.iium.edu.my/78144/ https://iiumfammed.wixsite.com/menwomenhealth/about |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Institution: | Universiti Islam Antarabangsa Malaysia |
Language: | English English |
Summary: | Background: Hand palpation is one of the essential steps involved in physical examination for patient
presented with abdominal pain. It is essential and had been trained among medical students before
eligible to practice as a medical doctor. Gastric tumor if large enough can be suspected from adequate
abdominal examination in 10% of cases. It can presents as a simple non-specific abdominal pain or
discomfort in 80% of cases in which can easily be missed if the doctor are not tentative enough with
correct abdominal examination technique. Case Report: We would like to share a case of 59-year-old
man, no known medical illness presented with dyspepsia for three weeks. Interestingly, he had no
other associated symptoms like nausea, vomiting, abdominal distension, early satiety or alarming
symptoms. He had sought medical attention to two previous clinics and was informed to have gastritis
and given antiacids medications but not resolved. Results: As in other case, in line with WHO
approach in primary care, we proceed further with clinical examination from peripheral to abdominal
examination. Surprisingly, there is palpable mass at his epigastric area, ill-defined in margin, firm in
consistency and non-tender. We refer this case urgently to surgical team with high possibility of
gastric malignancy. CECT abdomen reveals huge mass at upper abdomen arising from posterior wall of
stomach. He then was successfully managed with total gastrectomy and recovers well. Conclusion:
This case highlights the important of clinical examination in all cases comes to our attention,
regardless either benign in nature or short in presentation. This case might be miss if every medical
professional assume dyspepsia as gastritis and come into conclusion without proper examination. This
case proved that a good and simple abdominal examination in primary care setting indeed has save
the life of this gentleman who might die if the possible diagnosis has not been made promptly. |
---|