Umbilicus

Scaly, reddened, papular rash commonly in the breast folds, at the axillae, groin, or umbilicus White or yellow vaginal discharge... 

Stomach, except for a 2-inch margin around the umbilicus Back, right, and left sides just below the waist Upper thighs, both front and side... 

After 2 to 3 days of acute hemorrhagic pancreatitis, there may be a positive Turner s sign [local areas of discoloration (bruising) and induration of the skin near the umbilicus due to extravasation of blood]. 

Plaques appear most commonly on the elbows, knees, scalp, umbilicus, and lumbar areas, and often extend to involve the trunk, arms, legs, face, ears, palms, soles, and nails. 

The physical examination may reveal epigastric tenderness between the umbilicus and the xiphoid process that less commonly radiates to the back. Routine laboratory tests are not helpful in establishing a diagnosis of uncomplicated PUD. The hematocrit, hemoglobin, and stool hemoccult tests are used to detect bleeding. 

Limited experience with humans has shown that exposure to even small amounts of the higher chlorinated derivatives, particularly hexachlorodiphenyl oxide, may result in appreciable acneform dermatitis. Chloracne is usually persistent and affects the face, ears, neck, shoulders, arms, chest, and abdomen (especially around the umbilicus and on the scrotum). The most sensitive areas are below and to the outer side of the eye (malar crescent) and behind the ear. The skin is frequently dry with noninflammatory comedones and pale yellow cysts containing sebaceous matter and keratin. 

The thorax and abdomen are opened ventrally by a transverse incision of the abdomen at the level of the umbilicus and a longitudinal incision from the umbilicus to the base of the neck (Fig. I). 

Allantois/Umbilicus—Thin Blood islands Vasculature, Decreased Vasculature, Abnormal pattern Blister(s)... 

Nepal. Seed oil smeared around umbilicus and 3-5 mL placed inside the ostium is used as an abortifacient " ". 

Congenital deficiency of Factor XIII is inherited as an autosomal recessive trait and is frequendy recognized at birth because of delayed persistent hemorrhage from the umbilicus. In Factor XHI-deficient people wound healing is defective and wound dehiscence is common. 

In severe acute pancreatitis, the patient may present with symptoms of dehydration including tachycardia and hypotension. In about 1 % of patients, a bluish color is present around the umbilicus (Cullen s sign) or in the flanks of the abdomen (Grey Turner s sign) as a result of necrotizing pancreatitis and collection of blood from the retroperitoneal space. 

A 1-cm skin incision is made on the midline approx 1 cm above the umbilicus. 

The feather shaft consist of two parts (Figure 6.9). The hollow lower part below the vane, which attaches to the bird s skin, is the calamus. At the base of this hollow tube is an opening called the inferior umbilicus. This is the passage through which blood vessels feed the growing feather. When the feather reaches maturity, this opening dries up and closes off. The solid upper part of the feather, from which the vanes grow, is the rachis. 

For this application, a sterile microdialysis catheter is implanted percutane-ously into the subcutaneous adipose tissue in the periumbilical region using a special stainless steel guide cannula (Rosdahl et al., 1993). The membrane length of 2 to 3 cm and flow rates of 0.1 to 0.5 piL/min should guarantee sufficiently long dialysis time to achieve 100% recovery. Another approach is to use a flat dialysis probe for transcutaneous applications (DeBoer et al., 1993 Korf et al., 1993). Here the skin of newborn babies is first partially removed by stripping with medical tape. Then a microdialysis probe is placed directly onto the exposed skin, usually on the abdomen lateral to the umbilicus (DeBoer et al., 1994). 

Children have been diagnosed with anthrax, with several cases reported from the Middle East and France in the past 10 years or so. In most instances, the source of the anthrax was contaminated meat (White et al., 2002), and the infection resulted in anthrax meningitis, intestinal anthrax, and cutaneous anthrax (from a wool thread tied around the umbilicus after birth). Refer to White, Henretig, and Dukes (2002) for further details. 

Get waistline circumference (at umbilicus), blood pressure, fasting plasma glucose, and fasting lipid profile... 

Inspection Upon inspection, pronounced cases of ascites are characterized by marked protrusion of the abdomen. The umbilicus becomes everted or bulging. The distance between the navel and the symphysis appears diminished as a result of caudal displacement of the former. With large quantities of ascitic fluid, the abdominal skin is taut and shiny. In long-standing cases of ascites, striae distensae, together with expanded collateral veins radiating from the navel, may be visible. Increased ascitic pressure sometimes causes the occurrence of a hernia (inguinal, femoral, umbilical or cicatricial). (S. fig. 16.7) (41, 48, 57)... 

Fig. 37.1 Grey-coloured, medium-coarse tubercular cirrhosis in haemochromatosis with hepatocellular carcinoma in the foreground, white, flat tumour granuloma of the right hepatic lobe with vascularization at the tumour margin and small cancer umbilicus in the background, two additional tumour granulomas. Carcinomas infiltrating the peritoneal serosa in the right upper abdomen...

Fig, 37.171 Pronounced liver invasion by metastases of varying sizes partly with cancer umbilicus and neovascularization. Clinical diagnosis bronchial carcinoma... 

Fig. 37.16 Large metastasis in the right hepatic lobe with distinct cancer umbilicus subsequent to breast cancer (serosa, peritoneum and ligaments without pathological findings)...

A 1-day-old child died 11 hours after 2% phenol had been applied to the umbilicus. The postmortem blood concentration of phenol was 125 pg/ml (SEDA-11, 485)(7). 

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