Differentiating a hernia from other types of lumps · Single lump in the inguinal region · Positive cough impulse (unless incarcerated) · Soft on ...ClinicalExaminationProceduresCommunicationInterpretationMedicineSurgeryAnatomyCasesQuizAppReadingHerniaExamination–OSCEGuideShareTweetDrLewisPotter·ClinicalExamination·Lastupdated:February25,2021HerniaExamination–OSCEGuideIfyou'dliketosupportusandgetsomethinggreatinreturn,checkoutourOSCEChecklistBookletcontainingover120OSCEchecklistsinPDFformat.YoumightalsobeinterestedinourClinicalSkillsAppandourOSCEFlashcardCollectionwhichcontainsover1800cards.TableofContentsIntroductionGeneralinspectionDifferentiatingaherniafromothertypesoflumpsDifferentiatingherniasubtypesScrotalexaminationTocompletetheexamination…ReferencesImproveArticle👀SuggestanimprovementHiddenPostTitleHiddenPostURLHiddenPostIDTypeofissue*N/AFixspelling/grammarissueAddorfixalinkAddorfixanimageAddmoredetailImprovethequalityofthewritingFixafactualerrorPleaseprovideasmuchdetailaspossible*Youdon'tneedtotelluswhicharticlethisfeedbackrelatesto,asweautomaticallycapturethatinformationforyou.YourEmail(optional)Thisallowsustogetintouchformoredetailsifrequired.Whichorganisresponsibleforpumpingbloodaroundthebody?*Pleasewriteasinglewordanswerinlowercase(thisisananti-spammeasure)CancelSubmitCommentsThisfieldisforvalidationpurposesandshouldbeleftunchanged.ThisherniaexaminationOSCEguideprovidesanoverviewofhowtoexamineaherniainthegroin.DownloadtheherniaexaminationPDFOSCEchecklist,oruseourinteractiveOSCEchecklist.Youmayalsobeinterestedinourguidetoinguinalandfemoralhernias.IntroductionWashyourhandsanddonPPEifappropriate.Introduceyourselftothepatientincludingyournameandrole.Confirmthepatient’snameanddateofbirth.Brieflyexplainwhattheexaminationwillinvolveusingpatient-friendlylanguage:“TodayIneedtoperformanexaminationofthelumpyouareconcernedabout,whichwillinvolvemehavingalookandfeelofthelump.Itshouldn’tbepainful,however,itmightbealittleuncomfortable.Ifatanypointyouareinpainorwouldlikem

InguinalherniaphysicalexaminationJumptonavigationJumptosearchInguinalherniaMicrochaptersHomePatientInformationOverviewHistoricalPerspectiveClassificationPathophysiologyCausesDifferentiatingInguinalherniafromotherDiseasesEpidemiologyandDemographicsRiskFactorsScreeningNaturalHistory,ComplicationsandPrognosisDiagnosisDiagnosticStudyofChoiceHistoryandSymptomsPhysicalExaminationLaboratoryFindingsXRayCTMRIUltrasoundOtherImagingFindingsOtherDiagnosticStudiesTreatmentMedicalTherapySurgeryPrimaryPreventionSecondaryPreventionCost-EffectivenessofTherapyFutureorInvestigationalTherapiesCaseStudiesCase#1InguinalherniaphysicalexaminationOntheWebMostrecentarticlesMostcitedarticlesReviewarticlesCMEProgramsPowerpointslidesImagesAmericanRoentgenRaySocietyImagesofInguinalherniaphysicalexaminationAllImagesX-raysEcho&UltrasoundCTImagesMRIOngoingTrialsatClinicalTrials.govUSNationalGuidelinesClearinghouseNICEGuidanceFDAonInguinalherniaphysicalexaminationCDConInguinalherniaphysicalexaminationInguinalherniaphysicalexaminationinthenewsBlogsonInguinalherniaphysicalexaminationDirectionstoHospitalsTreatingInguinalherniaRiskcalculatorsandriskfactorsforInguinalherniaphysicalexaminationEditor-In-Chief:C.MichaelGibson,M.S.,M.D.[1];AssociateEditor(s)-in-Chief:FarimaKaheM.D.[2]OverviewPatientswithinguinalherniausuallyappeargood.Physicalexaminationofpatientswithinguinalherniaisusuallyremarkableforbulgeinthegroin,painlessscrotalmassandpalpableabdominalmassmaybepresent.PhysicalExaminationPhysicalexaminationofpatientswithinguinalherniaisusuallyremarkableforbulgeinthegroin,painlessscrotalmassandpalpableabdominalmassmaybepresent.AppearanceofthePatientPatientswithinguinalherniausuallyappeargood.VitalSignsNormalvitalsignsSkinNoskinabnormalityHEENTNoHEENTabnormalityNeckNoneckabnormalityLungsClearHeartNormalS1andS2AbdomenApalpableabdominalmassintheflankmaybepresent[1]AbdominaldistentionBackNobackabnormalityGenitourinaryPainlessscrotalmassmaybepresentNeuromuscularPatientisusuallyorientedtopersons,place,andtimeGl

Examination of different types of hernias; abdominal, umbilical, linea alba, direct and indirect (testicular) inguinal hernae.InfoPresseUrheberrechtKontaktCreatorWerbenEntwicklerImpressumNetzDGTransparenzberichtNetzDG-BeschwerdenNutzungsbedingungenDatenschutzRichtlinien&SicherheitWiefunktioniertYouTube?NeueFunktionentesten©2021GoogleLLC

Differentiating Inguinal HerniaTheBasicsTheatreBasicsTheatreEtiquetteHandWashingScrubbing,Gowning,andGlovingAssistinginTheatreTheOperationNoteSurgicalSafetySurgicalEquipmentSutureMaterialsSurgicalInstrumentsDiathermySurgicalSkillsKnotTyingSuturingInfiltrationofLocalAnaestheticDrainInsertionAbscessDrainageSkinLesionExcisionWoundHealingDamagetoLocalStructuresAcuteInflammationChronicInflammationWoundHealingBasicWoundManagementClinicalSkillsVenepunctureCannulationBloodCulturesIntravenousInfusionsFemaleCatheterisationMaleCatheterisationPeri-OpCarePeri-OperativeCarePre-OpAssessmentPre-OpManagementFluidManagementBloodProductsPerioperativeNutritionEnhancedRecoveryDayCaseSurgeryGeneralHaemorrhageSepsisPainNausea&VomitingPyrexiaDeliriumCardio-RespiratoryAtelectasisPneumoniaDVT&PEARDSGastrointestinalAnastomoticLeakPost-OpIleusBowelAdhesionsIncisionalHerniaConstipationUrinaryAcuteKidneyInjuryUrinaryRetentionUrinaryTractInfectionEndocrineHypoglycaemiaHyperkalaemiaHypokalaemiaHypernatremiaHyponatraemiaSkinSurgicalSiteInfectionWoundDehiscenceKeloidsOntheWardsInitialAssessmentTheGeneralApproachA-EAssessmentReferringaPatientIVFluidManagementPost-OpFeverPost-OpPainExaminationsCardio-RespiratoryCardiovascularRespiratoryCardiothoracicIncisionsGastrointestinalAbdominalAbdominalIncisionsGroinStomaDigitalRectalVascularPeripheralVascularPeripheralVenousNeurologicalCranialNervesPeripheralNeurologicalEndocrineDiabeticFootThyroidGlandOrthopaedicShoulderHandSpineHipKneeENTEarNoseOralCavityNeckLumpsBPPVOtherBreastRenalCertifyingDeathGeneralPresentationsAcuteAbdomenHaematemesisDysphagiaBowelObstructionBowelPerforationMelenaRectalBleedingOesophagusGORDOesophagealCancerOesophagealTearsMotilityDisordersStomachHiatusHerniaPepticUlcerDiseaseGastricCancerSmallBowelInguinalHerniaFemoralHerniaOtherHerniasGastroenteritisAngiodysplasiaSmallBowelTumoursNeuroendocrineTumoursLargeBowelAcuteAppendicitisColorectalCancerDiverticularDiseaseCrohn’sDiseaseUlcerativeColitisPseudo-ObstructionVolvulusAnorectalHaemorr

Examination of an adult for an inguinal hernia is best performed from the seated position, with the patient standing. The inguinal canal areas for the bulge ...ForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointSpecialty:MultispecialtyAllergy&ImmunologyAnesthesiologyBusinessofMedicineCardiologyCriticalCareDermatologyDiabetes&EndocrinologyEmergencyMedicineFamilyMedicineGastroenterologyGeneralSurgeryHematology-OncologyHIV/AIDSHospitalMedicineInfectiousDiseasesInternalMedicineMultispecialtyNephrologyNeurologyOb/Gyn&Women'sHealthOncologyOphthalmologyOrthopedicsPathology&LabMedicinePediatricsPlasticSurgeryPsychiatryPublicHealthPulmonaryMedicineRadiologyRheumatologyTransplantationUrologyMedicalStudentsNursesPharmacistsResidentsTodayonMedscapeEdition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSLogInSignUpIt'sFree!Edition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSRegisterLogInNoResultsNoResultsMonday,October18,2021ForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointclosePleaseconfirmthatyouwouldliketologoutofMedscape.Ifyoulogout,youwillberequiredtoenteryourusernameandpasswordthenexttimeyouvisit.LogoutCancelhttps://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cDovL3d3dy5tZWRzY2FwZS5jb20vYW5zd2Vycy8xODk1NjMtNDUyNDYvaG93LWlzLWEtcGh5c2ljYWwtZXhhbS1wZXJmb3JtZWQtb24tYW4tYWR1bHQtcGF0aWVudC13aXRoLWFuLWFiZG9taW5hbC1pbmd1aW5hbC1oZXJuaWE=processing....Drugs&Diseases>GeneralSurgery>AbdominalHerniasQ&AHowisaphysicalexamperformedonanadultpatientwithanabdominalinguinalhernia?Updated:Jul01,2021Author:AssarARather,MBBS,MD,FACS;ChiefEditor:JohnGeibel,MD,MSc,DSc,AGAF more...ReferencesShareEmailPrintFeedbackCloseFacebookTwitterLinkedInWhatsAppAnswerExaminationofanadultforaninguinalherniaisbestperformedfromtheseatedposition,withthepatientstanding.Theinguinalcanalareasforthebulgearevisualized.Aprovocativecoughmaybenecessarytoexposethehernia;thecoughisrepeatedastheexaminerinvaginatesthescrotumandfeelsforanimpulse.Thed

Examination of an adult for an inguinal hernia is best performed from the seated position, with the patient standing.ForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointEdition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSLogInSignUpIt'sFree!Edition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSRegisterLogInNoResultsNoResultsForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointclosePleaseconfirmthatyouwouldliketologoutofMedscape.Ifyoulogout,youwillberequiredtoenteryourusernameandpasswordthenexttimeyouvisit.LogoutCancelhttps://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cDovL2VtZWRpY2luZS5tZWRzY2FwZS5jb20vYXJ0aWNsZS8xODk1NjMtY2xpbmljYWw=processing....Drugs&Diseases>GeneralSurgeryAbdominalHernias ClinicalPresentationUpdated:Jul01,2021Author:AssarARather,MBBS,MD,FACS;ChiefEditor:JohnGeibel,MD,MSc,DSc,AGAF more...ShareEmailPrintFeedbackCloseFacebookTwitterLinkedInWhatsAppSectionsAbdominalHerniasSectionsAbdominalHerniasOverviewPracticeEssentialsBackgroundAnatomyPathophysiologyEtiologyEpidemiologyPrognosisPatientEducationShowAllPresentationHistoryPhysicalExaminationShowAllDDxWorkupApproachConsiderationsLaboratoryStudiesRadiographyComputedTomographyUltrasonographyHistologicFindingsShowAllTreatmentApproachConsiderationsHerniaReductionTopicalTherapySurgicalRepairofInguinalHerniaSurgicalRepairofOtherHerniaTypesSurgicalRepairofGastroschisis,Omphalocele,andOtherDefectsLong-TermMonitoringShowAllGuidelinesMedicationMedicationSummaryAntibioticsLocalAnestheticsGeneralAnestheticsAntianxietyAgentsNonsteroidalAnti-InflammatoryDrugs(NSAIDs)AnalgesicsShowAllQuestions&AnswersMediaGalleryReferencesPresentationHistoryInanemergencysetting,apatientwithaherniamaypresentbecauseofacomplicationassociatedwiththehernia,ortheherniamaybedetectedonroutinephysicalexamination.Inmostinstances,thediagnosisofherniaismadebecauseapatient,parent,orproviderhasobservedabulgeintheinguinalregionorscrotum(seetheimagesbelow).Thisbulgeisnotnec

Examination of the inguinal region in both men and women is best performed with the patient standing and the physician seated on a stool facing the patient.NCBISkiptomaincontentSkiptonavigationResourcesHowToAboutNCBIAccesskeysMyNCBISignintoNCBISignOutNCBIBookshelf.AserviceoftheNationalLibraryofMedicine,NationalInstitutesofHealth.WalkerHK,HallWD,HurstJW,editors.ClinicalMethods:TheHistory,Physical,andLaboratoryExaminations.3rdedition.Boston:Butterworths;1990.ClinicalMethods:TheHistory,Physical,andLaboratoryExaminations.3rdedition.ShowdetailsWalkerHK,HallWD,HurstJW,editors.Boston:Butterworths;1990.ContentsSearchtermChapter96InguinalCanalandHerniaExaminationJ.RichardAmerson.DefinitionTheanatomicarrangementofmuscularandfasciallayersinthelowerabdomenmakesthisareaasiteofpotentialweaknesswithpossibledevelopmentofinguinalhernias.Passagethroughthisregionbythevasdeferensandspermaticvesselsinthemaleandbytheroundligamentinthefemalemakestheareamorevulnerabletoherniaprotrusions.Inguinalorgroinherniasmaybecongenital,exitingalongthespermaticcordorroundligamentas"indirecthernias,"ormayoccurduetoweaknessofthetransversalisfascia,producing"directhernias."Defectsmedialtothefemoralveinasitpassesbeneaththeinguinalligamentallowforthedevelopmentoffemoralhernias.Approximately80%ofallinguinalherniasoccurinmales,whereas85%ofallfemoralherniasoccurinfemales.TechniqueAhistoryofpain,swelling,orpresenceofamassinthegroinareaissignificant.Specificquestionsneedtobeasked:Howlonghaveyounoticedthediscomfort(swelling,mass,pain)?Doesstandingoractivitysuchasliftingintensifyorevokethepain?Doescoughingorsneezingmakethelumpmoreprominent?Willlyingdownrelievethesymptomsorallowtheswellingtodisappear?Canyoupushthemassbackinwithyourhand?Haveyoueverhaddifficultypushingthemassbackintotheabdomen?Haveyoueverhadaherniaoroperationontheotherside?Inchildren,specificallyininfants,theparents"observationofaswellingorprotusionmaybetheonlypositivefeatureoftheevaluation.Examinationoftheinguinalregioninbothmenandwomenisb

Hernias may be easily diagnosed with an adequate physical examination. The physical examination should begin by carefully inspecting the femoral ...Advertisement<< PreviousarticleNextarticle >>Jun15,2013Issue  InguinalHernias:DiagnosisandManagement Thisisacorrectedversionofthearticlethatappearedinprint.KIMEDWARDLeBLANC,MD,PhD;LEANNEL.LeBLANC,MD;andKARLA.LeBLANC,MD,MBA,LouisianaStateUniversitySchoolofMedicine,NewOrleans,LouisianaAmFamPhysician. 2013 Jun 15;87(12):844-848.Amorerecentarticleoninguinalherniasisavailable. Patientinformation:Seerelatedhandoutoninguinal(groin)hernias,writtenbytheauthorsofthisarticle.ThisclinicalcontentconformstoAAFPcriteriaforcontinuingmedicaleducation(CME).SeetheCMEQuiz.Authordisclosure:Norelevantfinancialaffiliations.AbstractSymptomsandPhysicalFindingsImagingSurgicalManagementPostoperativeCareReferencesArticleSectionsAbstractSymptomsandPhysicalFindingsImagingSurgicalManagementPostoperativeCareReferencesInguinalherniasareoneofthemostcommonreasonsaprimarycarepatientmayneedreferralforsurgicalintervention.Thehistoryandphysicalexaminationareusuallysufficienttomakethediagnosis.Symptomaticpatientsoftenhavegroinpain,whichcansometimesbesevere.Inguinalherniasmaycauseaburning,gurgling,orachingsensationinthegroin,andaheavyordraggingsensationmayworsentowardtheendofthedayandafterprolongedactivity.Anabdominalbulgemaydisappearwhenthepatientisintheproneposition.Examinationinvolvesfeelingforabulgeorimpulsewhilethepatientcoughsorstrains.Althoughimagingisrarelywarranted,ultrasonographyormagneticresonanceimagingcanhelpdiagnoseaherniainanathletewithoutapalpableimpulseorbulgeonphysicalexamination.Ultrasonographymayalsobeindicatedwitharecurrentherniaorsuspectedhydrocele,whenthediagnosisisuncertain,oriftherearesurgicalcomplications.Althoughmostherniasarerepaired,surgicalinterventionisnotalwaysnecessary,suchaswithasmall,minimallysymptomatichernia.Ifrepairisnecessary,thepatientshouldbecounseledaboutwhetheranopenorlaparoscopictechniqueisbest.Surgicalcomplicationsan