Tag: umblical exam

Examination of umbilicus

by mediconepal

March 19, 2020

Look the shape and position of umbilicus. Describe the normal position of umbilicus : Umbilicus lies more or less in ...

Look the shape and position of umbilicus. Describe the normal position of umbilicus :

Umbilicus lies more or less in the midway between xiphlsternum and symphysis pubis
Normally It is inverted and slightly retracted.
The slit is circular, le. neither horizontal nor vertical (the slit is transverse in ascites, and vertical in the presence of ovarian cyst).

Causes of inverted and everted umbilicus : Everted—Seen in any condition giving rise to increased intra-abdominal tension like ovarian cyst, pregnancy, hydramnios. severe gaseous distension etc. Inverted—Normally in health and in obesity. Slit of umbilicus Vertical slit is noted in - Ovarian tumor - Horizontal slit in - Ascites Omphalolith – presence of inspissated desquamated epithelium and other debris

Umbilicus is buried in fat in obesity
Increase in distance between umbilicus and xiphisternum noted in upper abdominal mass and ascites
Increase in distance between umbilicus and symphysis pubis observed in Lower abdominal mass
Shift of umbilicus to opposite side occur to due to masses of lumbar and iliac fossa
Metastatic deposit in the umbilicus is noted in Sister Joseph nodule.

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