Difference between revisions of "Ultrasonography of epigastric bulging"
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| + | ==Planning== | ||
| + | ===How soon=== | ||
| + | Within 2 months in Swedish healthcare.<ref group="notes">{{NU Hospital Group}}</ref> | ||
| + | |||
==Evaluation== | ==Evaluation== | ||
| + | Scroll through the epigastric area in the axial plane without and with valsalva maneuver (to better detect a hernia), as well as when doing a partial situp (in order to better visualize any diastasis recti). | ||
| + | |||
===Main differential diagnoses=== | ===Main differential diagnoses=== | ||
<gallery mode="packed"> | <gallery mode="packed"> | ||
| − | File:Epigastric hernia.jpg|'''Epigastric hernia''', with a protrusion through linea alba. | + | File:Epigastric hernia.jpg|'''Epigastric hernia''', with a protrusion through the linea alba. |
File:Ultrasonography of diastasis recti.jpg|'''Diastasis recti''', commonly defined as a gap of roughly 2.7 cm or greater between the two sides of the rectus abdominis muscle<ref name="Review">{{cite journal|last1=Benjamin|first1=D.R.|last2=Van de Water|first2=A.T.M|last3=Peiris|first3=C.L.|title=Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review|journal=Physiotherapy|date=March 2014|volume=100|issue=1|pmid=24268942|doi=10.1016/j.physio.2013.08.005|pages=1–8}}</ref> | File:Ultrasonography of diastasis recti.jpg|'''Diastasis recti''', commonly defined as a gap of roughly 2.7 cm or greater between the two sides of the rectus abdominis muscle<ref name="Review">{{cite journal|last1=Benjamin|first1=D.R.|last2=Van de Water|first2=A.T.M|last3=Peiris|first3=C.L.|title=Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review|journal=Physiotherapy|date=March 2014|volume=100|issue=1|pmid=24268942|doi=10.1016/j.physio.2013.08.005|pages=1–8}}</ref> | ||
File:Ultrasonography of diastasis recti - Annotated.jpg|Latter image, with annotations | File:Ultrasonography of diastasis recti - Annotated.jpg|Latter image, with annotations | ||
</gallery> | </gallery> | ||
| + | |||
| + | ===Further workup of epigastric hernia=== | ||
| + | *Location | ||
| + | *Size of the protrusion opening, as well as of the hernia sac. | ||
| + | *It is also appropriate to test the ability to reduce by pressure. | ||
| + | |||
| + | ===Further workup of diastasis recti=== | ||
| + | Maximal measurement between the rectus abdominis muscles. | ||
| + | |||
{{Bottom}} | {{Bottom}} | ||
Revision as of 19:27, 10 December 2018
Author:
Mikael Häggström [notes 1]
Contents
Planning
How soon
Within 2 months in Swedish healthcare.[notes 2]
Evaluation
Scroll through the epigastric area in the axial plane without and with valsalva maneuver (to better detect a hernia), as well as when doing a partial situp (in order to better visualize any diastasis recti).
Main differential diagnoses
Epigastric hernia, with a protrusion through the linea alba.
Diastasis recti, commonly defined as a gap of roughly 2.7 cm or greater between the two sides of the rectus abdominis muscle[1]
Latter image, with annotations
Further workup of epigastric hernia
- Location
- Size of the protrusion opening, as well as of the hernia sac.
- It is also appropriate to test the ability to reduce by pressure.
Further workup of diastasis recti
Maximal measurement between the rectus abdominis muscles.
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
- ↑ NU Hospital Group, Sweden
