174 results
Umbilical Hernia Reduction on Point of Care Ultrasound (POCUS)

Dr. Mario Lupu @MLugo2014

#Hernia #Reduction #POCUS #ultrasound #clinical
Umbilical Hernia ... @MLugo2014 #Hernia ... ultrasound #clinical #Umbilical
Sister Mary Joseph Nodule on Physical Exam

Unfortunately, not all bulges are hernias. This umbilical bulge ended
This umbilical bulge ... clinical #video #umbilical ... lymphnode #oncology #umbilicus
Types of abdominal hernias
 - 
Inguinal (70.7%)
 - 
Umbilical (13.9%)
 - 
Epigastric (6.6%)
 - 
Incisional (4.7%)
Inguinal (70.7%) - Umbilical ... #Abdominal #Hernia
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Normal veins: Umbilicus ... towards head) above umbilicus ... towards feet) below umbilicus ... respecting the umbilical ... above and below umbilicus
Umbilical Cord Prolapse - umbilical cord presents ahead of fetus
 • Elevate the presenting fetal part
Umbilical Cord Prolapse ... - umbilical cord
34 yrs old patient, childbirth 3 weeks ago without problem. Acute supra-ombilical pain since 6 hours.
Acute supra-ombilical ... Strangulated hernia ... #Strangulated #hernia ... #umbilical #clinical
Resuscitative Hysterotomy - Procedure Instructions
When? ASAP. Within 4 minutes when possible.
Who? Pregnant patient with uterus above
with uterus above umbilicus ... Scalpel, Scissors • Umbilical ... Midline Incision Umbilicus
Perimortem Hysterotomy Instructions

Do 4 minutes into arrest if uterus above the umbilicus

1. Manage Arrest
 • Compressions,
uterus above the umbilicus ... Scalpel, Scissors, Umbilical ... - Cut midline umbilicus
Huge Umbilical Hernia: Umbilical hernia exacerbated by refractory ascites. Advanced liver disease 
precluded operative repair in
Huge Umbilical Hernia ... : Umbilical hernia ... Clinical #Photo #Umbilical ... #Hernia #Massive
Approximation of Fundal Height 

Gestational age - Fundal Height Landmark 
12 wks - Pubic symphysis 
20
symphysis 20 wks - Umbilicus ... (<= 24 hrs) - Umbilicus