Inguinal Hernias: Diagnosis and Management | Inguinal hernia physical examination

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

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Inguinal Hernias: Diagnosis and Management | Inguinal hernia physical examination
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Inguinal hernia physical examination | Inguinal hernia physical examination