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Many disease processes, including malignancies, infections, and bowel obstruction, present with abdominal masses. The most serious and dramatic etiology is an abdominal aortic aneurysm, which is responsible for 15,000 deaths per year. More... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Abdominal masses are common presenting signs of malignant solid tumors in children and should be presumed to be such. They require urgent evaluation to rule out compression of internal organs, hemorrhage, and/or malignancy. In newborns, an abdominal mass is... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... As the physician examines the abdomen, how can he or she recall all of the causes of a mass or swelling? The physician should consider the possibilities for the mass’s composition. It may be air, in which case the physician would think of air in the peritoneum with rupture
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... Commonly detected on routine physical examination, an abdominal mass is a localized swelling in one abdominal quadrant. Typically, this sign develops insidiously and may represent an enlarged organ, a neoplasm, an abscess, a vascular defect, or a fecal mass.
... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pictures
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... Femoral and popliteal aneurysms (sometimes called peripheral arterial aneurysms) are the end result of progressive atherosclerotic changes occurring in the walls (medial layer) of these major peripheral arteries. These aneurysmal formations may be fusiform... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Signs and Symptoms Arrhythmias, palpitations, fatigue, weakness, angina, dyspnea, edema, crackles, jugular vein distention, systemic embolization, pulses alternans
Treatment (Tx)
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... Signs and Symptoms Pulsating mass in periumbilical area, systolic bruit over aorta, tenderness with deep palpation, flank and groin pain, weakness, sweating, tachycardia, hypotension
Treatment (Tx) Surgery, fluid replacement,
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... Abdominal aneurysm, an abnormal dilation in the arterial wall, generally occurs in the aorta between the renal arteries and iliac branches. Rupture — in which the aneurysm breaks open, resulting in profuse bleeding — is a... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Signs and Symptoms Headache, nuchal rigidity, stiff back and legs, nausea, decreased level of consciousness, seizures, blurred vision, dysphagia, pupillary changes
Treatment (Tx) Surgical repair, bed rest, codeine,... Pictures
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... Signs and Symptoms Ripping pain extending to neck, back, shoulders, and abdomen; bradycardia; aortic insufficiency; pericardial friction rub; blood pressure differences; neurologic deficits; hoarseness; dysphagia; dyspnea
Treatment (Tx) ... Pictures
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... Commonly detected on routine physical examination, an abdominal mass is a localized swelling in one abdominal quadrant. Typically, this sign develops insidiously and may represent an enlarged organ, a neoplasm, an abscess, a vascular defect, or a fecal mass. ... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Differential Overview
Abdominal Mass
❑ Liver enlargement
❑ Spleen enlargement
❑ Fecal mass
❑ Diverticulitis
... Diagnostic Approach ... Clinical Findings
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... Femoral and popliteal aneurysms result from progressive atherosclerotic changes occurring in the walls (medial layer) of the major peripheral arteries. Aneurysmal formations may be fusiform (spindle shaped) or saccular (pouchlike), with the fusiform type being three times... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Ventricular aneurysm is marked by an outpouching (almost always of the left ventricle) that produces ventricular wall dysfunction in 10% to 20% of patients after a myocardial infarction (MI). A ventricular aneurysm may develop within weeks after an MI, usually... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... With abdominal aneurysm, an abnormal dilation in the arterial wall generally occurs in the aorta between the renal arteries and iliac branches. Such aneurysms are four times more common in men than in women and are most prevalent in whites ages 50 to 80.... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... With cerebral aneurysm, localized dilation of a cerebral artery results from a weakness in the arterial wall. Its most common form is the berry aneurysm, a saclike outpouching in a cerebral artery. Cerebral aneurysms usually arise at an arterial junction in the... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Thoracic aortic aneurysm is characterized by an abnormal widening of the ascending, transverse, or descending part of the aorta. Aneurysm of the ascending part of the aorta is the most common type — and is usually fatal.
The aneurysm may... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Commonly detected on routine physical examination, an abdominal mass is a localized swelling in one abdominal quadrant. Typically, this sign develops insidiously and may represent an enlarged organ, a neoplasm, an abscess, a vascular defect, or a fecal mass. ... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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...Although vomiting, abdominal pain, GI bleeding,hematuria, and fever accompany some types of abdominal mass lesions,other types occur without any associated signs and symptoms. Thus,it is especially important to examine the abdomen on each medicalvisit. Principal Causes of ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Commonly detected on routine physical examination, an abdominal mass is a localized swelling in one abdominal quadrant. Typically, this sign develops insidiously and may represent an enlarged organ, a neoplasm, an abscess, a vascular... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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As the physician examines the abdomen, how can he or she recall all of
the causes of a mass or swelling? The physician should consider the
possibilities for the mass’s composition. It may be air, in which case
the... Pictures
... READ EXCERPTS »