Inguinal Hernia Exam Technique

Because standing and coughing can make a hernia more prominent you ll likely be asked to stand and cough or strain.

Inguinal hernia exam technique. While the physical examination does not differ in the infant it can be more challenging to elicit the hernia impulse given the compressed groin. 18 which technique is appropriate to detect an inguinal hernia. Although data are limited in one report the sensitivity and specificity of the physical. Inguinal hernia examination introduction.

This is inguinal hernia exam by cogniio on vimeo the home for high quality videos and the people who love them. A hernia is the protrusion of an organ or structure through the abdominal wall due to some weakness or defect in the support of the abdomen. O if hernia reappears it is a direct hernia. If a testicular swelling is noted or there is suspicion of an inguinal hernia palpation of the scrotum should be performed with the patient s consent.

Examination techniques for hernia definition. Inspect rectal areas as the patient bears down. Conduct the examination only in the supine position. The diagnosis of an inguinal hernia is usually made through history and physical examination findings.

Direct will project forwards if you cannot reduce it try again with patient lying. Inguinal hernias can extend into the scrotum. A physical exam is usually all that s needed to diagnose an inguinal hernia. Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region.

Elective surgery is offered to most patients. Your doctor will check for a bulge in the groin area. There are several types of herniae. Umbilical abdominal femoral direct and indirect inguinal herniae.

Surgery remains the ultimate treatment for all types of hernias as they will not get better on their own however not all require immediate repair. Move your finger upward along the vas deferens. As indirect and direct hernias are unreliably differentiated by physical exam alone finally while the diagnosis of a simple inguinal hernia may be. When palpating an inguinal hernia in the scrotum you will not be able to get above the mass.

Femoral hernia sacs will present medial and just inferior to the lower border of the inguinal ligament while inguinal hernias will present superior to the lower border of the inguinal ligament. Have the patient strain as you pinch the testes.