Rectus Diastasis: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body weight, height; further:
    • Inspection (viewing).
      • Skin and mucous membranes
      • Abdomen (abdomen) [inspection while lying down and standing].
        • Shape of the abdomen?
          • [Pregnant woman lying down: patient lies on her back and tenses the abdominal wall by lifting her head → gap in the middle of the abdomen; widening of the so-called linea alba/vertical connective tissue suture on the abdomen.
          • Pregnant woman standing: Protrusion of the anterior abdominal wall/rectus diastasis as a bulge between the two standing straight abdominal muscles (Mm. recti abdominis).
          • After pregnancy standing: unusually soft, bulging abdomen that still looks pregnant]
        • Skin color? Skin texture?
        • Efflorescences (skin changes)?
        • Pulsations? Bowel movements?
    • Examination of the abdomen (abdomen)
      • Percussion (tapping) of the abdomen.
      • Palpation (palpation) of the abdomen (abdomen) (pressure pain?, knock pain?, cough pain?, defensive tension?, hernial orifices?, kidney bearing knock pain?)

Square brackets [ ] indicate possible pathological (pathological) physical findings.