Fullness or mass or nodularity or pain in the pouch of Douglas, local tenderness or palpable tender nodules in cul de sac [ 8, 14, 16, 19, 30].
Markedly elevated white blood cell count (>18,000/mm3), palpable tender mass in the right upper abdominal quadrant, duration of complaints >72 h, and marked local inflammation (gangrenous cholecystitis, pericholecystic abscess, hepatic abscess, biliary peritonitis, emphysematous cholecystitis) are considered as signs of grade II (moderate) acute cholecystitis [7].
With resolution of neutropenia, the patient may present with fever, right upper quadrant pain, palpable tender hepatomegaly, and elevated serum alkaline phosphatase.
Moderate acute cholecystitis is associated with any of the following conditions: elevated white cell count (WCC) (18 000/mm); palpable tender mass in the right upper abdominal quadrant; duration of symptoms for more than 72 h; marked local inflammation (gangrenous cholecystitis, pericholecystic abscess, hepatic abscess, biliary peritonitis, emphysematous cholecystitis).
The diagnosis trapezius myalgia was set if the findings neck pain, tightness of the trapezius muscle (i.e., a feeling of stiffness in the descending region of the trapezius muscle was reported by the subject at examination of lateral flexion of the head) and palpable tender parts in the trapezius muscle were all included.
The MYA group was diagnosed with neck pain, tightness of the trapezius muscle (i.e. a feeling of stiffness in the descending region of the trapezius muscle reported by the subject at examination of lateral flexion of the head), palpable tender points of the muscle and normal or slightly decreased range of motion of the cervical column.
The patient presented with a palpable non-tender mass.
Alone, she learned that the cancer had metastasized to her liver; that tender, palpable mass was an organ seventy-five per cent overtaken by disease.
A 32-year-old woman had a new tender, palpable mass in the left breast.
Tender palpable liver with features of acute hepatitis on liver biopsy was seen in many patients (Abdelraheem et al., 2010).
Physical examination showed a firm, immobile, non-tender palpable mass.
