Inguinal Hernia Soap Note Example

This may include pain or discomfort especially with coughing exercise or bowel movements.

Inguinal hernia soap note example. The patient is a xx year old female who previously underwent a repair of a right inguinal hernia approximately eight years ago. The inguinal canal areas for the bulge are visualized. Traditional soap note 4 28 2014 medical student note 6 45am hospital day 2 subjective. A femoral hernia is an uncommon type of inguinal hernia in which intra abdominal contents e g intraperitoneal fat mesentery bowels herniate into the femoral canal through the femoral ring risk factors for femoral hernias include old age female gender obesity and previous hernia repair.

A provocative cough may be necessary to expose the hernia. She felt as though she had fever but she denied any further vomiting. On physical exam this was consistent with a recurrence of her right inguinal hernia. L groin bulge hpi.

It is worse when he is standing for prolonged periods of time and disappears when he lies flat. Currently married but separated from wife at this time 6. The cough is repeated as the examiner invaginates the scrotum and feels for an impulse. Often it gets worse throughout the day and improves when lying down.

Smokes packs per day x s 14 years 2. Enters through internal inguinal ring lateral to inferior epigastric artery. Inguinal hernia repair is a common surgical procedure. Moderate caffeine usage 4.

Denies recreational drug use 5. Symptoms are present in about 66 of affected people. Right ulnar collateral ligament reconstruction 2009 3. It doesn t improve on its own however and can lead to life threatening complications.

Your doctor is likely to recommend surgery to fix an inguinal hernia that s painful or enlarging. Melanoma removal x s 3 social history. Right inguinal hernia surgery 2006 2. An inguinal hernia isn t necessarily dangerous.

Hernia sac passes outside hesselbach s triangle. An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal. Mother stated that the princess passed several diarrheal stools last night requiring frequent cleaning all night with wipes and that she hardly drank anything. If not it is an indirect hernia.

Over the last six months to one year she has noticed an increasing bulge in her right groin. Examination of an adult for an inguinal hernia is best performed from the seated position with the patient standing. See inguinal canal for anatomic course. Patients present with a globular swelling inferior to the inguinal ligament and medial to the.

Mb is a 43 male with a 2 month history of a bulge in his l groin. Indirect inguinal hernia most common in men and women course. He notes that he had a bad cough several months ago and then noticed a new bulge in his l groin. Herniates via inguinal canal.

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.