Pancreatic disease can be identified by pain points. The examination is carried out by an experienced doctor who can easily detect pathological processes in the body. Today we will talk about what the Mayo-Robson point is and what diseases can be diagnosed after its palpation.
The structure of the pancreas
This large organ is located on the back of the abdomen behind the stomach. It consists of three branches:
- The head is hook-shaped.
- The body is like a prism, separated by grooves from the head.
- The tail of the pancreas, the end of the body, is slightly bent up.
The pancreas occupies an important place in ensuring the vital activity of the body, and is also responsible for the implementation of external and internal secretory activity. With its defeat and the presence of an inflammatory process, a disease such as pancreatitis occurs. In appearance, it is acute and chronic. Pancreatic inflammation can cause other diseases.
Often, patients experience pain on the left under the ribs. The remaining signs of pancreatic disease may appear after some time. This is a sharp weight loss, loss of appetite, vomiting, diarrhea. The patient may not be aware of the inflammatory process. Therefore, with periodic pain on the left under the ribs, you should contact a medical institution to find out its cause. Damage to the pancreas can lead to serious consequences.
Pancreas points
By special pain points that are located in the pancreas, visually determine its inflammation. If the pancreatic tail point is affected, this is a symptom of acute or chronic pancreatitis. When confirming the diagnosis, other complex measures are prescribed: analyzes, ultrasound, X-ray, computed tomography.
Special points are felt:
- Desjardin (located 3 cm to the right of the navel, slightly above it).
- The Mayo-Robson point is located in the left square of the abdomen, the disease affects the tail of the pancreas.
- Kacha point is located at the end of the rectus abdominis muscle, with pain there are suspicions of pancreatic damage between the body and tail.
- Male Guy is located below the ribs, to the left of the rectus abdominis muscle.
- The gubergrice is opposite the Desjardins point, but only on the left.
However, suspicions of pancreatic disease should be confirmed by laboratory tests and instrumental examination.
Pancreas zones
With the help of palpation, you can detect painful areas of the pancreas. They are divided into three types:
- Shoffara (located between the navel and armpit on the right).
- Yanovera (located on the horizontal line of the navel and 4 cm to the left of it).
- Hubergritsa-Skulsky (located as the Shoffar zone, only on the left).
Thanks to inspection, you can pre-compose a picture of the disease. When examined in other ways, it is easy to make the correct diagnosis and prescribe an effective treatment.
How is the examination
An increase in the size of the pancreas indicates an inflammatory process. To make the correct diagnosis, palpation is performed. It is done in the morning on an empty stomach or after cleansing the intestines with an enema. The patient lies on his back. The doctor’s task is to find the lower part of the stomach. The fingers of the left hand palpate the skin on the abdomen somewhere 2-3 cm further than the lower part of the stomach, while moving it up. Then, with the relaxation of the press, which occurs during exhalation, the fingers are immersed to the very posterior abdominal wall. Without tearing them, stroking the skin from top to bottom. A qualified doctor can immediately notice an enlarged pancreas.
It is worth noting that in a healthy person, the pancreas is very difficult to probe. Palpation helps to make an accurate diagnosis, only with pancreatitis, this area where the Mayo-Robson point is located is very painful. At the initial stage of the disease, an enlarged pancreas can be seen visually. In the chronic form of pancreatitis, it gradually decreases. Therefore, in addition to inspection, a full examination is necessary. This is a test, x-ray or ultrasound.
Methods of a medical examination for chronic pancreatitis
With Mayo-Robson symptoms, the patient has spasmodic sensations on the left side of the rib-vertebral angle. On palpation, pain occurs when pressure is applied to certain points:
- If the onset of the pancreas is affected, that is, the head, then an unpleasant sensation occurs at the point of Desjardins. To determine this, finger press on the point to the right of the navel 7 cm above the horizontal line of the armpit.
- Pressure on the triangle of the body of the gland in the area of the Shoffar Rive causes pain.
- The Mayo-Robson point is responsible for the point of the tail of the pancreas. It is determined as follows. From the navel there is a line to the middle of the costal arch. We divide it into three parts. So this is the first point from the navel.
Mayo-Robson symptom occurs in 45% of the population. Some people confuse it with other diseases of the pancreas and gastrointestinal tract. Typically, such a diagnosis indicates the presence of acute or chronic pancreatitis. There is acute pain on the left side under the ribs, since there is a pancreatic tail. When you press your fingers on this place, pain will sharply appear. In this way, the presence of the disease is determined. In the acute form of pancreatitis, it hurts on the left of the costal vertebral region. In addition to pancreatitis, other diseases can also develop.
Diagnosis of pancreatic lesions
In addition to confirming the symptoms according to the patient, palpation of points and zones, it is necessary to take a biochemical blood test, to assess the water-electrolyte balance. Necessarily need a urine test. To confirm the diagnosis, instrumental methods are needed that will help to examine the organ and identify pathological processes. Assign an ultrasound examination. To exclude the formation of stones, they are sent for x-ray. Computed tomography, endoscopy helps to give an extensive analysis of the disease picture. It is important to start treatment in a timely manner.
Conclusion
Pancreas zones, in particular the Mayo-Robson point, help with the visual examination and palpation to detect the presence of inflammation. With constant pain in the ribs on the left, vomiting, loose stools and a sharp decrease in weight, you should definitely consult a therapist. At the initial stage of the disease, following the recommendations of the doctor, observing a special diet, you can prevent the development of the disease and its transition into a chronic form. The pancreas is the main organ that helps digest fats, proteins and carbohydrates. Therefore, it is necessary to maintain it in good condition, and in the presence of pathologies - to treat. If you have pain on the left, constant nausea and other symptoms of malaise - you should immediately consult a doctor.
Be healthy!