48 results
Asymmetric Umbilicus Reflex on Physical Exam

An asymmetric umbilicus reflex in a patient with scoliosis warrants an
Asymmetric Umbilicus ... An asymmetric umbilicus ... #Asymmetric #Umbilicus ... #Reflex #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
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
Clinical Signs of Pancreatic Cancer
Jaundice
Cachexia
Depression
Vomiting from duodenal obstruction
Lymphadenopathy
Palpable gallbladder (Courvoisier's sign)
Hepatomegaly (extrahepatic biliary obstruction/secondary deposits)
Scratch marks
tumour spread to umbilicus ... via umbilical vein
Umbilical Hernia Reduction on Point of Care Ultrasound (POCUS)

Dr. Mario Lupu @MLugo2014

#Hernia #Reduction #POCUS #ultrasound #clinical
Umbilical Hernia ... ultrasound #clinical #Umbilical
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
Umbilical Cord Prolapse - umbilical cord presents ahead of fetus
 • Elevate the presenting fetal part
Umbilical Cord Prolapse ... - umbilical cord
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
Approximation of Fundal Height 

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