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Draw 2 horizontal lines and vertical 2: the upper horizontal line passing through
the lower limit of the rib flange; the horizontal bottom, by both iliac crests tubers;
the vertical lines are symmetrical . And continue to the clavicular medium.
Delimiting 9 abdominal regions:
c) surface condition: there are conditions of the skin, hair system and its
implementation, the characteristics of the navel and the. presence of
scars.
d) Movements: may be respiratory, circulatory, nervous, digestive or fetal.
It have different depends on
Age
NORMAL ABDOMEN:
lt is rounded or flat
lt is symmetrically on each side of the midline
ln thin: excavated Abdomen (escafoide or concave)
Obese: bulky Abdomen: globulous or prominent
Frog belly: Front side of the belly is lost muscle tone. Are presented in:
Elderly
Obese
Pregnancy to term (multiparous)
SCARS
KOCHER INCISION: Below the right costal edge
PFANNESTIEL INCISION: Convex above the pubic symphysis
ISUPRAUMBILICAL NCISION: incision Iine Middle umbilical from xiphoid
until the navel Appendix
MCBIJRNEY INC|SION: Above the iliac spine anterosuperior
PARAMEDIAL INCISION: parallel to the alba
INGUINAL INCISION
INCISION INFRAUMBILICAL: The incision line Middle umbilical has
been dificult from the navel to the pubis
NAVEL:
Observe your outline and location and any inflammation or protrusion that
makethink of a
hernia
The navel is usually umbilicado or flat.
.The navel has moved upward by intra-abdominll growths and
downwards by ascites (tanyol sign sign).
PILIFICACION:
The distribution of the pubic hair has arisen difference between men
than in women.
Man: you have a dianiond distribution, reaching the navel .
ln women: is triangular, without hair towards the navel.
SIGN OF CULTEN
Periumbilical ecchymosis
Capillary injury and prothrombin complex deficiency.
Signs of pancreatitis necrohemorragica and liver diseases