Femoral hernia differential diagnosis

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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.

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

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