Inguinal hernia physical examination: Difference between revisions
Jump to navigation
Jump to search
Farima Kahe (talk | contribs) |
|||
| (19 intermediate revisions by 2 users not shown) | |||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{ | {{Inguinal hernia}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{F.K}} | ||
==Overview== | ==Overview== | ||
Patients with | Patients with inguinal hernia usually appear good. Physical examination of patients with inguinal hernia is usually remarkable for bulge in the groin, painless [[scrotal mass]] and palpable [[abdominal mass]] may be present. | ||
==Physical Examination== | ==Physical Examination== | ||
*Physical examination of patients with inguinal hernia is usually remarkable for bulge in the groin, painless [[scrotal mass]] and palpable [[abdominal mass]] may be present. | |||
*Physical examination of patients with | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with | *Patients with inguinal hernia usually appear good. | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Normal vital signs | |||
* | |||
===Skin=== | ===Skin=== | ||
* | *No skin abnormality | ||
===HEENT=== | ===HEENT=== | ||
* | *No HEENT abnormality | ||
===Neck=== | ===Neck=== | ||
* | *No neck abnormality | ||
===Lungs=== | ===Lungs=== | ||
* | *Clear | ||
===Heart=== | ===Heart=== | ||
* | *Normal S1 and S2 | ||
===Abdomen=== | ===Abdomen=== | ||
*A palpable abdominal mass in the flank may be present <ref name="pmid26812669">{{cite journal |vauthors=Tardu A, Yagci MA, Karagul S, Ertugrul I, Kayaalp C |title=Retroperitoneal mass presenting as recurrent inguinal hernia: A case report |journal=Int J Surg Case Rep |volume=20 |issue= |pages=46–8 |year=2016 |pmid=26812669 |pmc=4818296 |doi=10.1016/j.ijscr.2016.01.005 |url=}}</ref> | |||
*Abdominal distention | |||
*A palpable abdominal mass in the | |||
* | |||
===Back=== | ===Back=== | ||
* | *No back abnormality | ||
===Genitourinary=== | ===Genitourinary=== | ||
* | *Painless [[scrotal mass]] may be present | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
*Patient is usually oriented to persons, place, and time | *Patient is usually oriented to persons, place, and time | ||
* | * [[Glasgow coma scale]] is 15/15 | ||
===Extremities=== | ===Extremities=== | ||
*Bulge in the groin | *Bulge in the groin <ref name="pmid18244999">{{cite journal |vauthors=Jenkins JT, O'Dwyer PJ |title=Inguinal hernias |journal=BMJ |volume=336 |issue=7638 |pages=269–72 |year=2008 |pmid=18244999 |pmc=2223000 |doi=10.1136/bmj.39450.428275.AD |url=}}</ref> | ||
'''NOTE:'''Examination for hernia is best performed with the patient standing and the physician seated in front of the patient. Observation of the groin will reveal an obvious bulge. This can be confirmed as a hernia by placing the hand over the bulge and asking the patient to cough or perform a Valsalva maneuver. When coughing, hernias produce a distinct, soft impulse that increases the protrusion | '''NOTE:''' Examination for hernia is best performed with the patient standing and the physician seated in front of the patient. Observation of the groin will reveal an obvious bulge. This can be confirmed as a hernia by placing the hand over the bulge and asking the patient to [[cough]] or perform a [[Valsalva maneuver]]. When coughing, hernias produce a distinct, soft impulse that increases the protrusion. | ||
==References== | ==References== | ||
Latest revision as of 15:29, 29 January 2018
|
Inguinal hernia Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Inguinal hernia physical examination On the Web |
|
American Roentgen Ray Society Images of Inguinal hernia physical examination |
|
Risk calculators and risk factors for Inguinal hernia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
Overview
Patients with inguinal hernia usually appear good. Physical examination of patients with inguinal hernia is usually remarkable for bulge in the groin, painless scrotal mass and palpable abdominal mass may be present.
Physical Examination
- Physical examination of patients with inguinal hernia is usually remarkable for bulge in the groin, painless scrotal mass and palpable abdominal mass may be present.
Appearance of the Patient
- Patients with inguinal hernia usually appear good.
Vital Signs
- Normal vital signs
Skin
- No skin abnormality
HEENT
- No HEENT abnormality
Neck
- No neck abnormality
Lungs
- Clear
Heart
- Normal S1 and S2
Abdomen
- A palpable abdominal mass in the flank may be present [1]
- Abdominal distention
Back
- No back abnormality
Genitourinary
- Painless scrotal mass may be present
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Glasgow coma scale is 15/15
Extremities
- Bulge in the groin [2]
NOTE: Examination for hernia is best performed with the patient standing and the physician seated in front of the patient. Observation of the groin will reveal an obvious bulge. This can be confirmed as a hernia by placing the hand over the bulge and asking the patient to cough or perform a Valsalva maneuver. When coughing, hernias produce a distinct, soft impulse that increases the protrusion.
References
- ↑ Tardu A, Yagci MA, Karagul S, Ertugrul I, Kayaalp C (2016). "Retroperitoneal mass presenting as recurrent inguinal hernia: A case report". Int J Surg Case Rep. 20: 46–8. doi:10.1016/j.ijscr.2016.01.005. PMC 4818296. PMID 26812669.
- ↑ Jenkins JT, O'Dwyer PJ (2008). "Inguinal hernias". BMJ. 336 (7638): 269–72. doi:10.1136/bmj.39450.428275.AD. PMC 2223000. PMID 18244999.