Umbilical hernia physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]

Overview

Physical examination of patients with umbilical hernia is usually remarkable for a protruding umbilical mass examined in the standing and supine positions to determine the size of a hernia +/- valsalva maneuver.

Physical Examination

Physical exam findings for umbilical hernia are as follows:

• Physical examination of patients with umbilical hernia is usually remarkable for a protruding umbilical mass examined in the standing and supine positions to determine the size of a hernia +/- valsalva maneuver.

Appearance of the Patient

• Patients with umbilical hernia usually appear normal.

Vital Signs

Vital signs in umbilical hernia are normal.

Skin

• Skin examination of patients with umbilical hernia is usually normal.

HEENT

• HEENT examination of patients with umbilical hernia is usually normal.

Neck

• Neck examination of patients with umbilical hernia is usually normal.

Lungs

• Pulmonary examination of patients with umbilical hernia is usually normal.

Heart

• Cardiovascular examination of patients with umbilical hernia is usually normal.

Abdomen

• Abdominal examination of patients with umbilical hernia is usually normal with the exception of a protruding umbilical mass.
• If strangulated then it presents with:
  • Pain
  • Hard umbilical mass
  • Tenderness

Back

• Back examination of patients with umbilical hernia is usually normal.

Genitourinary

• Genitourinary examination of patients with umbilical hernia is usually normal.

Neuromuscular

• Neuromuscular examination of patients with umbilical hernia is usually normal.

Extremities

• Extremities examination of patients with umbilical hernia is usually normal.