{"id":245,"date":"2010-12-02T11:34:29","date_gmt":"2010-12-02T11:34:29","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/palpation-of-the-large-intestine\/"},"modified":"2023-01-11T23:29:15","modified_gmt":"2023-01-11T23:29:15","slug":"palpation-of-the-large-intestine","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-examination-of-the-abdomen\/specific-examination-techniques\/palpation-of-the-large-intestine\/","title":{"rendered":"Palpation of the large intestine"},"content":{"rendered":"

The large intestine (colon) takes in a great deal of space in the abdominal cavity
\n[Figure 43]. Nevertheless, it is usually impalpable. Even under pathologic conditions the transverse colon can easily slide unnoticed beneath the palpating hand because, in contrast to the rest of the colon, it is suspended in the mesenterium (transverse mesocolon) and is therefore able to move freely within the abdomen. Colon abnormalities, if symptomatic, almost always lead to changes in bowel movements. However, colon tumours can be present without noticeable abdominal symptoms. If malignancy is suspected based on general symptoms, abdominal examination is indicated.<\/p>\n

\"\"Figure 43<\/span><\/span><\/p>\n

Inspection <\/strong>
\nDetermine the colour of the skin and mucous membranes (anaemia).<\/p>\n

Percussion<\/strong>
\nNormally, the colon does not yield any findings on percussion. A swollen or air-filled colon produces tympany. Pain on percussion in the lower left abdomen may be an indication of diverticulitis.<\/p>\n

Palpation<\/strong><\/p>\n

Procedure<\/h2>\n