Mayo-Robson Point: Pancreas

Disease of the pancreas can be determined from the pain points. The examination is conducted by an experienced doctor who can easily detect pathological processes in the body. Today we will talk about what a Mayo-Robson point is and what diseases can be diagnosed after her palpation.

Structure of the pancreas

This large organ is located on the back of the abdomen behind the stomach. It consists of three branches:

1. The head is shaped hook-like.
2. The body looks like a prism, separated by grooves from the head.
3. The tail of the pancreas, the end of the body, is slightly curved upward.

Pancreas occupies an important place in the provision of vital functions of the body, and is also responsible for the performance of external and internal secretory activity. With its defeat and the presence of an inflammatory process, a disease occurs, such as pancreatitis. In appearance it can be acute and chronic. Inflammation of the pancreas can be the cause of other diseases.

Often, patients experience pain on the left under the ribs. The remaining signs of the pancreas can appear after a while. This is a sharp weight loss, loss of appetite, vomiting, diarrhea. The patient may not know about the inflammatory process. Therefore, with periodic pain on the left under the ribs, you should contact the medical institution to find out its cause. The defeat of the pancreas can lead to serious consequences.

Points of the pancreas

By special pain points that are located in the pancreas, visually determine its inflammation. If the point of the tail of the prostate 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 probed:

• Dejardena (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.
• The Kacha point is at the end of the rectus abdominis muscle, with pains suspected of a lesion of the prostate between the body and tail.
• Male Guy is below the ribs, to the left of the rectus abdominis muscle.
• Gubergritsa is opposite the point of Desjardins, but only on the left.

However, suspicions of pancreatic disease must be confirmed by laboratory tests and instrumental examination.

Areas of the pancreas

With the help of palpation it is possible to detect painful areas of the pancreas. They are divided into three types:

• Shoffara (located between the navel and the armpit right).
• Janover (located along the horizontal line of the navel and 4 cm to the left of it).
• Gubergritsa-Skulsky (located as the Shoffar zone, only to the left).

Due to the examination it is possible to make a preliminary picture of the disease. At inspection by other methods it is easy to put the correct diagnosis and to appoint or nominate effective treatment.

How is the examination performed

An increase in the size of the pancreas indicates an inflammatory process. To make the correct diagnosis, spend palpation. It is done in the morning on an empty stomach or after cleaning 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 feel the skin on the abdomen somewhere 2-3 cm farther from the lower part of the stomach, while moving it upwards. Then, while relaxing the press, which occurs when exhaling, immerse the fingers to the very back of the abdominal wall. Do not tear them off, patting 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 feel. Palpation helps to make an accurate diagnosis, but with pancreatitis, this zone, where the Mayo-Robson point is located, hurts badly. At the initial stage of the disease, the enlarged pancreas can be seen visually. With chronic form of pancreatitis, it gradually decreases. Therefore, in addition to the examination it is necessary to conduct a complete examination. This is the delivery of tests, x-rays or ultrasound.

Methods of medical examination for chronic pancreatitis

With the symptoms of Mayo-Robson, the patient has spasmodic sensations from the left side of the costal-vertebral angle. When palpation pain occurs when pressing on certain points:

• If the beginning of the pancreas is struck, that is, the head, an unpleasant sensation arises at the point of Desjardins. To determine this, press a finger on the point to the right of the navel 7 cm above the horizontal line of the axilla.
• Pressing the triangle of the body of the gland in the Shoffar-Riva zone causes pain.
• The Mayo-Robson point is responsible for the point of the tail of the pancreas. It is defined as follows. From the navel there is a line to the middle of the costal arch. We divide it into three parts. Hence, this is the first point from the navel.

A symptom of Mayo-Robson is found in 45% of the population. Some confuse it with other diseases of the pancreas and gastrointestinal tract. Usually this diagnosis indicates the presence of acute or chronic pancreatitis. There is a sharp pain on the left side under the ribs, since there is a tail of the prostate. When you press your fingers on this place, pain will suddenly appear. Thus, the presence of the disease is determined. In acute form of pancreatitis it hurts on the left of the costal-vertebral department. In addition to pancreatitis, other diseases can develop.

Diagnosis of pancreatic injury

In addition to confirming the symptoms from the patient's words, palpation of points and zones, it is necessary to submit a biochemical blood test, to evaluate the water-electrolyte balance. Mandatory urine analysis is necessary. To confirm the diagnosis, instrumental methods are needed that will help to examine the organ and reveal pathological processes. Assign an ultrasound examination. To exclude the formation of stones, sent to the X-ray. Helps to give an extensive analysis of the disease picture of computed tomography, endoscopy. It is important to start treatment in time.

Conclusion

Pancreatic zones, in particular the Mayo-Robson point, help in the visual examination and palpation to detect the presence of inflammation. With constant pain in the rib area to the left, vomiting, loose stool and a sharp decrease in weight, you should always consult a therapist. At the initial stage of the disease, following the recommendations of a doctor, observing a special diet, you can prevent the development of the disease and its transition to a chronic form. The pancreas is the main organ that helps digest fats, proteins and carbohydrates. Therefore, it is necessary to maintain it in a normal state, and in the presence of pathologies - to treat. If you have a pain on the left, constant nausea and other symptoms of malaise - it is worth urgently to see a doctor.

Be healthy!