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Sister Mary Joseph Nodule on Physical Exam

Unfortunately, not all bulges are hernias. This umbilical bulge ended

This umbilical bulge ... SisterMaryJoseph #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

Approximation of Fundal Height

Gestational age - Fundal Height Landmark
12 wks - Pubic symphysis
20

symphysis 20 wks - Umbilicus ... (<= 24 hrs) - Umbilicus

Cullen's Sign: Ecchymosis/discoloration around the umbilicus

#Clinical #Pancreatitis #Cullens #Sign #CullenSign #PhysicalExam

discoloration around the umbilicus ... #Clinical #Pancreatitis

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

Beevor's Sign on Physical Exam

Beevor's sign is abnormal upward (cephalad) movement of the umbilicus with truncal

movement of the umbilicus ... #PhysicalExam #clinical ... #video #umbilicus

Umbilical Hernia Reduction on Point of Care Ultrasound (POCUS)

Dr. Mario Lupu @MLugo2014

#Hernia #Reduction #POCUS #ultrasound #clinical

Umbilical Hernia ... POCUS #ultrasound #clinical ... #Umbilical

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

Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
- Patient with knee in extension. Push posterior on

of patella then ask ... Patellar #Grind #clinical ... Patellofemoral #msk

Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted

away from the umbilicus ... Milking #abdominal #clinical

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