Femoral hernia differential diagnosis: Difference between revisions
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! rowspan="2" |Diseases | ! rowspan="2" |Diseases | ||
! colspan="5" |History and Symptoms | ! colspan="5" |History and Symptoms | ||
! colspan="3" |Physical Examination | |||
! colspan=" | !Imaging | ||
! | |||
|- style="background: #4479BA; color: #FFFFFF; text-align: center;" | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
!Swelling | !Swelling | ||
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!Vomiting | !Vomiting | ||
!Age/Gender | !Age/Gender | ||
!Location | !Location of swelling | ||
! | !Tenderness | ||
! | !Redness | ||
!Ultrasonography | !Ultrasonography | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Femoral hernia | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Femoral hernia | ||
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|Female > 45yrs | |Female > 45yrs | ||
|Below the inguinal ligament | |Below the inguinal ligament | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| Line 67: | Line 54: | ||
|Male > 40yrs | |Male > 40yrs | ||
|Above the inguinal ligament | |Above the inguinal ligament | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" |Abnormal ballooning of the anteroposterior diameter of the inguinal canal | | style="background: #F5F5F5; padding: 5px;" |Abnormal ballooning of the anteroposterior diameter of the inguinal canal | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Femoral artery aneurysm | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Femoral artery aneurysm | ||
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|Male > 60 yrs | |Male > 60 yrs | ||
|Usually below the inguinal ligament | |Usually below the inguinal ligament | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" |Duplex ultrasound used to differentiate between femoral artery aneurysm and femoral hernia | | style="background: #F5F5F5; padding: 5px;" |Duplex ultrasound used to differentiate between femoral artery aneurysm and femoral hernia | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Saphenous vein varicosity | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Saphenous vein varicosity | ||
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| style="background: #F5F5F5; padding: 5px;" |Female | | style="background: #F5F5F5; padding: 5px;" |Female | ||
| style="background: #F5F5F5; padding: 5px;" |Sephanofemoral junction | | style="background: #F5F5F5; padding: 5px;" |Sephanofemoral junction | ||
| | | | ||
| | | | ||
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| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" |Both | |||
| style="background: #F5F5F5; padding: 5px;" |Femoral canal | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" |Internal echo in cases of lymphadenopathy | | style="background: #F5F5F5; padding: 5px;" |Internal echo in cases of lymphadenopathy | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Lipoma | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Lipoma | ||
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|Male and female 40-60 yrs | |Male and female 40-60 yrs | ||
|Occurs any where throughout the body | |Occurs any where throughout the body | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" |Echogenic solid mass, often misinterpreted as a fat containing hernia. | | style="background: #F5F5F5; padding: 5px;" |Echogenic solid mass, often misinterpreted as a fat containing hernia. | ||
|} | |} | ||
Revision as of 16:04, 7 February 2018
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Femoral hernia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Femoral hernia differential diagnosis On the Web |
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American Roentgen Ray Society Images of Femoral hernia differential diagnosis |
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Risk calculators and risk factors for Femoral hernia differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]
Overview
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
OR
[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].
Differentiating X from other Diseases
- [Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
- [Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].
- As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].
Preferred Table
Femoral artery aneurysm. [1][2]
| Diseases | History and Symptoms | Physical Examination | Imaging | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Swelling | Pain | Nausea | Vomiting | Age/Gender | Location of swelling | Tenderness | Redness | Ultrasonography | |
| Femoral hernia | + | +/- | +/- | +/- | Female > 45yrs | Below the inguinal ligament | |||
| Inguinal hernia | + | + | +/- | +/- | Male > 40yrs | Above the inguinal ligament | Abnormal ballooning of the anteroposterior diameter of the inguinal canal | ||
| Femoral artery aneurysm | + | - | - | - | Male > 60 yrs | Usually below the inguinal ligament | Duplex ultrasound used to differentiate between femoral artery aneurysm and femoral hernia | ||
| Saphenous vein varicosity | + | +/- | - | - | Female | Sephanofemoral junction | |||
| Lymphadenopathy | + | +/- | - | - | Both | Femoral canal | Internal echo in cases of lymphadenopathy | ||
| Lipoma | + | +/- | - | - | Male and female 40-60 yrs | Occurs any where throughout the body | Echogenic solid mass, often misinterpreted as a fat containing hernia. | ||
References
- ↑ Diwan, Aparna; Sarkar, Rajabrata; Stanley, James C.; Zelenock, Gerald B.; Wakefield, Thomas W. (2000). "Incidence of femoral and popliteal artery aneurysms in patients with abdominal aortic aneurysms". Journal of Vascular Surgery. 31 (5): 863–869. doi:10.1067/mva.2000.105955. ISSN 0741-5214.
- ↑ Rigdon EE, Monajjem N (1992). "Aneurysms of the superficial femoral artery: a report of two cases and review of the literature". J. Vasc. Surg. 16 (5): 790–3. PMID 1433668.