<p>Nonresponsive superficial pulsations from the umbilicus to the halfway point between the umbilicus and xiphoid process (CV-12), responsive tight-tense rectus abdominals with urgency, nonresponsive fullness in the upper epigastrium, responsive pain and discomfort around the umbilicus or lower right rectus abdominal that refers to the waist, lower back, or external genitals. Splashing in the left upper quadrant below the costal cartilage and inhibited urination and nausea, or retching, or watery-loose stool, or responsive stiffness and tightness of the neck and nape.</p>
