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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

166
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
166
Assessment of the Abdomen III: Palpation01:23

Assessment of the Abdomen III: Palpation

381
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
381
Assessment of the Abdomen I: Inspection and Auscultation01:25

Assessment of the Abdomen I: Inspection and Auscultation

295
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
295
Assessment of the Abdomen II: Percussion01:18

Assessment of the Abdomen II: Percussion

216
Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
216
Ultrasound I: Abdominal Ultrasonography01:20

Ultrasound I: Abdominal Ultrasonography

185
Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
185
Ultrasound II: Endoscopic Ultrasound and FibroScan01:25

Ultrasound II: Endoscopic Ultrasound and FibroScan

82
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
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Related Experiment Video

Updated: Jun 12, 2025

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
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Evaluating Umbilical Masses: Lessons Learned From Three Elderly Patients.

Tze Hui Soo1, Marylyn Ganapragasam1, Subapriya Suppiah1

  • 1Department of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, MYS.

Cureus
|September 24, 2024
PubMed
Summary
This summary is machine-generated.

Umbilical lesions in elderly women can be malignant, mimicking benign conditions. Early suspicion and integrated diagnostic approaches are vital for accurate diagnosis and effective management of these rare presentations.

Keywords:
infected urachal cystprimary umbilical leiomyosarcomasister mary joseph noduleumbilical lesionumbilical nodule

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Area of Science:

  • Oncology
  • Radiology
  • Pathology

Background:

  • The umbilicus, a remnant of embryonic development, can manifest as benign or malignant lesions in adults.
  • Tumor metastasis to the umbilicus is rare but presents diagnostic and therapeutic challenges due to similar appearances with benign conditions.

Observation:

  • This case series details three elderly women with umbilical or infraumbilical lesions presenting similarly.
  • Case 1: Sister Mary Joseph nodule (ovarian carcinoma).
  • Case 2: Umbilical liposarcoma.
  • Case 3: Infected urachal cyst with Actinomycetes.

Findings:

  • Standard imaging protocols revealed diverse pathologies despite similar initial presentations.
  • Malignant diagnoses included ovarian carcinoma metastasis and liposarcoma.
  • Benign diagnoses included an infected urachal cyst.

Implications:

  • Umbilical lesions in the elderly warrant high suspicion for sinister diagnoses, especially if unresponsive to standard treatment.
  • Accurate diagnosis relies on integrating clinical, radiological, and pathological data.
  • This highlights the importance of a multidisciplinary approach in managing complex umbilical pathologies.