<p>Nonresponsive superficial pulsations from the umbilicus to the xiphoid process (CV-14), responsive tight-tense rectus abdominals with urgency, nonresponsive hard sphere shape in the upper epigastrium (CV-13 to CV-14), nonresponsive fullness in the upper epigastrium, mild responsive upright vertical chevron shape in the upper epigastrium, responsive pain and discomfort around the umbilicus or right lower rectus abdominal that refers to the waist, lower back, or external genitals.</p>
