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{{Umbilical hernia}}
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==Overview==
==Overview==
Physical examination of patients with umbilical [[hernia]] is usually remarkable for a protruding [[umbilical]] [[Tumor|mass]] examined in the standing and supine positions to determine the size of a [[hernia]] +/- [[valsalva maneuver]].


==Physical Examination==
==Physical Examination==
Physical exam findings for umbilical [[hernia]] are as follows:<ref name="urlHernia, Umbilical - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed/29083594 |title=Hernia, Umbilical - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlHernia, Pediatric Umbilical - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed/29083740 |title=Hernia, Pediatric Umbilical - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="ShankarItani2017">{{cite journal|last1=Shankar|first1=Divya A.|last2=Itani|first2=Kamal M. F.|last3=O’Brien|first3=William J.|last4=Sanchez|first4=Vivian M.|title=Factors Associated With Long-term Outcomes of Umbilical Hernia Repair|journal=JAMA Surgery|volume=152|issue=5|year=2017|pages=461|issn=2168-6254|doi=10.1001/jamasurg.2016.5052}}</ref>
*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===
===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===
* [[Lung|Pulmonary]] examination of patients with umbilical [[hernia]] is usually normal.
===Heart===
* Cardiovascular examination of patients with umbilical hernia is usually normal.
===Abdomen===
*[[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]] [[Tumor|mass]]
**[[Tenderness]]


[[hernia]] is present at the site of the [[umbilicus]] (commonly called a navel, or belly button) in the newborn; although sometimes quite large, these hernias tend to resolve without any treatment by around the age of 5 years. Obstruction and strangulation of the hernia is rare because the underlying defect in the abdominal wall is larger than in an [[inguinal hernia]] of the newborn.  
===Back===
* [[Human back|Back]] examination of patients with umbilical [[hernia]] is usually normal.


Babies are prone to this malformation because of the process during [[fetal development]] by which the abdominal organs form outside the abdominal cavity, later returning into it through an opening which will become the umbilicus.
===Genitourinary===
* [[Genitourinary system|Genitourinary]] examination of patients with umbilical [[hernia]] is usually normal.


(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California)
===Neuromuscular===
* [[Neuromuscular junction|Neuromuscular]] examination of patients with umbilical [[hernia]] is usually normal.


<div align="left">
===Extremities===
<gallery heights="175" widths="175">
* [[Limb (anatomy)|Extremities]] examination of patients with umbilical [[hernia]] is usually normal.
Image:Abdomen umbo hernia1.jpg|Umbilical Hernia: Protrusion of intra-abdominal contents through defect in posterior fascia.
Image:Abdomen umbo hernia2.jpg|Umbilical Hernia: In this case the increase in size seen in the picture on the right is caused by asking the patient to perform the valsalva maneuver.
Image:Abdomen umbo hernia4.jpg|Huge Umbilical Hernia: Umbilical hernia exacerbated by refractory ascites. Advanced liver disease precluded operative repair in this case.
Image:Abdomen incarcerated umbo.jpg|Incarcerated Umbilical Hernia: Note reddened umbilical area resulting from entrapment of intra-abdominal contents in hernia. When this occurred, the patient developed acute pain in this region.
</gallery>
</div>


==References==
==References==
{{Reflist|2}}
{{reflist|2}}
 
[[Category:Gastroenterology]]
[[Category:Surgery]]
[[Category:Pediatrics]]
[[Category:Up-To-Date]]
[[Category:Disease]]
 
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Latest revision as of 21:18, 29 January 2018

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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:[1][2][3]

  • 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

Heart

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

Abdomen

Back

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

Genitourinary

Neuromuscular

Extremities

References

  1. "Hernia, Umbilical - PubMed - NCBI".
  2. "Hernia, Pediatric Umbilical - PubMed - NCBI".
  3. Shankar, Divya A.; Itani, Kamal M. F.; O’Brien, William J.; Sanchez, Vivian M. (2017). "Factors Associated With Long-term Outcomes of Umbilical Hernia Repair". JAMA Surgery. 152 (5): 461. doi:10.1001/jamasurg.2016.5052. ISSN 2168-6254.

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