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. [1][2]

Diseases History and Symptoms Physical Examination Laboratory Findings Other Findings
Swelling Pain Nausea Vomiting Age/Gender Location Physical Finding 1 Physical Finding 2 Physical Finding 3 Physical Finding 4 Ultrasonography Lab Test 2 Lab Test 3 Lab Test 4
Femoral hernia + +/- +/- +/- Female > 45yrs Below the inguinal ligament
Inguinal hernia Above the inguinal ligament Abnormal ballooning of the anteroposterior diameter of the inguinal canal
Femoral artery aneurysm + - - - Duplex ultrasound used to differentiate between femoral artery aneurysm and femoral hernia
Saphenous vein varicosity + +/- - - Female Sephanofemoral junction
Lymphadenopathy + +/- - - Internal echo in cases of lymphadenopathy
Lipoma + +/- - - Occurs any where throughout the body Echogenic solid mass, often misinterpreted as a fat containing hernia.

References

  1. 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.
  2. 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.

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