What is the abdominal examination of fecal vomit

  The presence of fecal-like vomit is a clinical symptom of acute pancreatitis. Acute pancreatitis (acutepancreatitis, AP) is a relatively common type of acute abdomen, and its incidence accounts for the third to fifth highest incidence of acute abdomen. More than 80% of these patients have a mild condition, namely acute edematous pancreatitis, which can be cured non-operatively and is basically a medical condition. What is the abdominal examination of fecal-like vomit?  1, visual examination: the abdomen is mostly flat, but hemorrhagic necrotizing pancreatitis can be distended due to intestinal paralysis, and when complicated by pancreatic cysts or abscesses, there can be a limited bulge.  2. Palpation: pressure pain, rebound pain and muscle tension may vary depending on the extent and location of the lesion. In general, there is pressure pain of varying degrees in the upper abdomen, but the site of pressure pain is related to the location of the lesion. If the lesion is in the head of the pancreas, the pressure pain is in the right upper abdomen; if the lesion is in the tail of the pancreas, the pressure pain is in the left upper abdomen; if the lesion involves the whole pancreas, the pressure pain is in the whole upper abdomen. In case of hemorrhagic necrotizing pancreatitis, when the abdominal cavity is full of fluid, there is often pressure pain, rebound pain and muscle tension in the whole abdomen.  In acute pancreatitis, a mass is also often found in the upper abdomen. The cause of the mass may be: A. distended gallbladder, located in the right upper abdominal gallbladder area; B. enlarged pancreatic head, located in the right upper abdomen but in a deeper location; C. pancreatic cyst or abscess, mostly round cystic masses; D. edematous inflamed tissue, such as fluid in the greater omentum, intestinal duct or small omental sac.  3.Percussion: when there is intestinal distension, the percussion is bulging, and if there is fluid in the abdominal cavity, the percussion is turbid, and mobile turbid sounds can be measured.  4, auscultation: intestinal sounds are mostly diminished, and when there is intestinal paralysis, the abdomen can be quiet.  The diagnosis of acute pancreatitis is mainly based on clinical manifestations, relevant laboratory tests and imaging examinations, which are clinically required not only to make the diagnosis of pancreatitis, but also to evaluate its development, complications and prognosis.