General

Genearl
mass ၁ ခု ေတြ ့ ရင္ ေတြ ့ တဲ ့ ေန ရာ ေပၚ မူတည္ စဥ္းစားပ ါ ။
ဥပ မာ :: right iliac fossa မွာ ေတြ ့ ရင္ ဒါ ဟာ Appendicular mass , Ca cacum ,Amoeba , Iliocaecal TB , Psoas abscess MEsentric cyst , mesentric lymph adenitis စ သျဖင့္ ျဖစ္ ႏိုင္ ပါတယ္။

Epigastrium မွာ ေတြ ့ ရင္ stomach (ca) , Pancreas (cyst , ca head ) , transverse colon ,liverleft lobe enlargement ,retropreitonum organs enlargement (aortic aneurysm , lymph adenopathy ) ေတြ ကို စဥ္္း စား ရ ပါမယ္ ။
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Detail ေျပာ ၇ မွာ ေတြ က

Lymph node or mass ၁ ခု ခု ဆို ရင္ ဆက္ ေျပာ ရ မွာ ေတြ က -number , site , size , shape : surface margin ,edge( consistancy ;skin over swelling surounding swelling ) move with respiration ,raise on raising test (prominent or less)temperature tenderness စမ္း

scar ၁ ခု ခု ဆို ရင္ ဆက္ ေျပာ ရ မွာ ေတြ number site size healed by primary union orsecondary union shape (irregular orregular) nsicional hernia (present or not )temperature tenderness စမ္း

wound ၁ ခု ခု ဆို ရင္ ဆက္ ေျပာ ရ မွာ ေတြ ကnumber site(extendendingfrom - to _ )size _ stitches discharge visible granulation tissue surroundinig inflammation temperature စမ္း
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ံHISTORY ေမး ရ င္ လဲ
pain ဆို ရင္ sudden(perforation haemorrhage ..စသျဖင့္ျဖစ္ႏိုင္ )
gradual (hollow organ distension ,peritoneal distension ..စသျဖင့္ျဖစ္ႏိုင္ )
Character ေမး ရင္ (aching,throbbing , colicky, stabbing ,constriction, burning,heavy,diffuse,dull)စသျဖင့္ဆက္ေမးရပါမယ္။
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Chief Complaint မွာ
dysphagia , regurgitation ဟု medical term ျဖင့္မေရး ရ။ dificulty in sollowing bringing up of swallow food စသျဖင့္ ေရး ရမည္။