Two years later, he presents with right upper quadrant pain and weight loss. A CT scan shows multiple liver metastases. 两年后,出现右上腹疼痛和体重降低,CT显示多处肝转移病灶。
Discussion of clinical cases : abdominal distension, right upper quadrant pain, intrahepatic lesions 临床病例讨论:腹胀、右上腹疼痛、肝内占位性病变
The patient was found in lateral decubitus position and groaning. Tender over the epigastric especially the right upper quadrant. 病人侧卧位并呻吟。特别是在右上腹有压痛。
The sclera was not icteric. The heart and lung was normal. The abdomen flat with marked tenderness over the right upper quadrant, where muscular spasm and rebound tenderness were present. 巩膜无黄染。心肺正常。腹平坦,右上腹有明显压疼伴有肌紧张及反跳疼。
" The abdomen flat with marked tenderness over the right upper quadrant, where muscular spasm and rebound tenderness were present. " “腹平坦,右上腹有明显压疼伴有肌紧张及反跳疼”