The pain starts suddenly in the epigastrium or right upper quadrant and may radiate round to the back in the interscapular region. |
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When the primary site is in the epigastrium the source usually is the pancreas, stomach, duodenum, or liver. |
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It is often accompanied by distension and fullness of the epigastrium and abdomen, acid regurgitation, and a thick and sticky tongue coating. |
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This is a transverse view of the epigastrium in a patient with a dilated pancreatic duct. |
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The physical examination showed pallid mucosa and a palpable mass in the epigastrium and mesogastrium. |
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A large mass was palpable in the epigastrium and right upper quadrant. |
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The pain of acute cholecystitis typically lasts longer than three hours and, after three hours, shifts from the epigastrium to the right upper quadrant. |
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Chronic duodenal ulcer frequently presents with epigastric pain, sometimes situated more to the right of the epigastrium or central upper abdomen. |
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There was a firm nodular abdominal mass measuring 52 cm from the pubic symphysis to the epigastrium. |
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Physical examination revealed normal vital signs, tender epigastrium without guarding or rebound tenderness. |
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