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[[File:Epigastric bulging.jpg|200px|right]]
==Planning==
===How soon===
Within 2 months in Swedish healthcare.<ref group="notes">{{NU Hospital Group}}</ref>
==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===
<gallery mode="packed">
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 - Annotated.jpg|Latter image, with annotations
</gallery>
===Further workup of epigastric hernia===
*Location
*Size of the protrusion opening, as well as of the hernia sac.
*Any increase in standing or valsalva.
*Any intestinal content.
*Ability to reduce by pressure.
===Further workup of diastasis recti===
Maximal measurement between the rectus abdominis muscles.
===Further workup of incidental superficial soft tissue findings===
See '''[[Ultrasonography of superficial soft tissues]]'''.
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