Epigastric Mass
Approach
- Expose patient
- Begin at the hands
- Inspect
- Signs of anaemia
- Evidence of jaundice
- Palpate supraclavicular fossa for lymphadenopathy (especially virchow's node in left supraclavicular fossa)
- Comment on any abdominal scars
- May be fullness in epigastrium
- Palpate
- Size
- Surface
- Edge
- Consistency
- Rleations
- Percuss
- Ascultate
Completion
- Complete rest of abdominal examination
Differential diagnosis
- Skin / soft tissues
- Sebcecous cysts
- Sarcoma
- Lipoma
- Herniae (epigastric)
- GIT
- Hepatomegaly
- Carcinoma of stomach
- Carcinoma of pancreas
- Pancreatic pseudocyst
- Vascular system
- Abdominal aortic aneurysm
- Retroperitoneal lymphadenopathy
