Inguinal Hernia Clinical Examination

Investigations can be found useful in the detection of occult inguinal femoral hernia and in cases of unambiguous diagnosis. Medial to the inferior epigastric artery inguinal hernias are often asymptomatic presenting as a painless swelling in the groin. An appreciation of the anatomical differences can help to distinguish between the two with a clinical examination.

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A very helpful video for medical students showing the examination of hernia.

Inguinal hernia clinical examination. O press firmly on the lump and starting inferiorly try and lift it up and compress it towards the deep inguinal ring o once it is reduced slide your fingers up and maintain pressure over the deep inguinal ring o ask patient to cough o if hernia reappears it is a direct hernia. The cough is repeated as the examiner invaginates the scrotum and feels for an impulse. The principle of this is that if you can place your finger over the deep inguinal ring just above the mid point of the inguinal ligament then you can control an indirect inguinal hernia which has been reduced. A provocative cough may be necessary to expose the hernia.

A step by step procedure is show here which will really help you. This is inguinal hernia exam by cogniio on vimeo the home for high quality videos and the people who love them. A step by step procedure for the examination of hernia is shown in the video. We have summarised some important points below from our hernia overview article.

Examination is performed by the expert so this video is very helpful for the medical students. Diagnostic tests seem to be of very little importance in diagnosis of hernia as in most of the situations final diagnosis is approached to by clinical examination itself. Lateral to the inferior epigastric artery or through the weakened posterior wall of the inguinal canal direct inguinal hernia. The inguinal canal areas for the bulge are visualized.

If not it is an indirect hernia. An inguinal hernia is a protrusion or movement. An awareness of the various hernia subtypes their typical clinical features is essential when performing a hernia examination. Any mass found on groin examination should be gently pressed with the examining fingers in an attempt to reduce the hernia and thereby cause the contents of the sac to return to the peritoneal cavity.

Examination of an adult for an inguinal hernia is best performed from the seated position with the patient standing. An inguinal hernia is an abnormal protrusion of intra abdominal contents either through the deep inguinal ring indirect inguinal hernia. Transillumination of the scrotal contents in a darkened room will aid in differentiating a hydrocele from an intrascrotal indirect inguinal hernia.