Here are the factors: | |General medical and heart examination A FULL medical check including heart and lung function and abdominal examination
, sight and hearing tests and blood and urine tests.
revealed a fairly globular non-tender mass measuring 20 cms across, occupying left flank and umbilicus.
showed a midline scar and bulge in the epigastric region that was soft and nontender on palpation.
His abdominal examination
revealed tenderness in the left iliac fossa with guarding.
revealed mild tenderness in epigastric region without peritoneal signs.
General physical and abdominal examination
Morning blood pressure medicines were not taken and BP decreased to 160/90 mm Hg after tablet concor and dozar were given, heart rate 64 /min oxygen saturation of 98 per cent with clear chest, normal cardiac, abdominal examination
and no pitting edema on lower extremities.'
The abdominal examination
showed soft hepatomegaly 3 cm below costal margin.
Diffuse tenderness and rigidity were noticed on abdominal examination
and leukocytosis and an elevated CRP level necessitated a CT scan which showed free air in the abdominal cavity (Figure 3).
On abdominal examination
, there was generalized tenderness with rebound.
Abdominal distension and rigidity were found and a 5 cm diameter mass was palpated during abdominal examination
. Vital signs were insignificant.
revealed an enlarged, non-tender spleen with the lower border palpable 5 cm below the left costal margin.