Difference between revisions of "Ultrasonography of epigastric bulging"
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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== | ==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. | ||
| + | *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]]'''. | ||
| + | |||
{{Bottom}} | {{Bottom}} | ||
Latest revision as of 13:47, 6 February 2019
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.
- 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.
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
