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...

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Main Authors:	Ahmad Zawawi, Muhammad Zul Hazmi, Shalihin, Mohd Shaiful Ehsan
Format:	Conference or Workshop Item
Language:	English English
Published:	2020
Subjects:	R Medicine (General) RA Public aspects of medicine RC Internal medicine RD Surgery
Online Access:	http://irep.iium.edu.my/78144/ http://irep.iium.edu.my/78144/ 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

id	iium-78144
recordtype	eprints
spelling	iium-781442020-02-06T02:18:10Z http://irep.iium.edu.my/78144/ Hand palpation – patient’s saviour from advanced cancer Ahmad Zawawi, Muhammad Zul Hazmi Shalihin, Mohd Shaiful Ehsan R Medicine (General) RA Public aspects of medicine RC Internal medicine RD Surgery 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. 2020-01-11 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/78144/1/Gastric%20tumor%20case%20report.pdf application/pdf en http://irep.iium.edu.my/78144/4/E%20BOOK%201st%20EAST%20COST%20MWHS%202020.pdf Ahmad Zawawi, Muhammad Zul Hazmi and Shalihin, Mohd Shaiful Ehsan (2020) Hand palpation – patient’s saviour from advanced cancer. In: 1st East Coast Symposium on Men and Women's Health 2020, 11th-12th January 2020, Kuantan. Pahang. (Unpublished) https://iiumfammed.wixsite.com/menwomenhealth/about
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	R Medicine (General) RA Public aspects of medicine RC Internal medicine RD Surgery
spellingShingle	R Medicine (General) RA Public aspects of medicine RC Internal medicine RD Surgery Ahmad Zawawi, Muhammad Zul Hazmi Shalihin, Mohd Shaiful Ehsan Hand palpation – patient’s saviour from advanced cancer
description	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.
format	Conference or Workshop Item
author	Ahmad Zawawi, Muhammad Zul Hazmi Shalihin, Mohd Shaiful Ehsan
author_facet	Ahmad Zawawi, Muhammad Zul Hazmi Shalihin, Mohd Shaiful Ehsan
author_sort	Ahmad Zawawi, Muhammad Zul Hazmi
title	Hand palpation – patient’s saviour from advanced cancer
title_short	Hand palpation – patient’s saviour from advanced cancer
title_full	Hand palpation – patient’s saviour from advanced cancer
title_fullStr	Hand palpation – patient’s saviour from advanced cancer
title_full_unstemmed	Hand palpation – patient’s saviour from advanced cancer
title_sort	hand palpation – patient’s saviour from advanced cancer
publishDate	2020
url	http://irep.iium.edu.my/78144/ http://irep.iium.edu.my/78144/ 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
first_indexed	2023-09-18T21:50:08Z
last_indexed	2023-09-18T21:50:08Z
_version_	1777413713696915456

Hand palpation – patient’s saviour from advanced cancer

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