Inguinal hernia physical examination

Inguinal hernia Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Inguinal hernia from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
X Ray
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Inguinal hernia physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Inguinal hernia physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Inguinal hernia physical examination
CDC on Inguinal hernia physical examination
Inguinal hernia physical examination in the news
Blogs on Inguinal hernia physical examination
Directions to Hospitals Treating Inguinal hernia
Risk calculators and risk factors for Inguinal hernia physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Overview

Patients with inguinal hernia usually appear good. Physical examination of patients with inguinal hernia is usually remarkable for bulge in the groin, painless scrotal mass and palpable abdominal mass may be present.

Physical Examination

• Physical examination of patients with inguinal hernia is usually remarkable for bulge in the groin, painless scrotal mass and palpable abdominal mass may be present.

Appearance of the Patient

• Patients with inguinal hernia usually appear good.

Vital Signs

• Normal vital signs

Skin

• No skin abnormality

HEENT

• No HEENT abnormality

Neck

• No neck abnormality

Lungs

• Clear

Heart

• Normal S1 and S2

Abdomen

• A palpable abdominal mass in the flank may be present
• Abdominal distention

Back

• No back abnormality

Genitourinary

• Painless scrotal mass may be present

Neuromuscular

• Patient is usually oriented to persons, place, and time
• Glasgow coma scale is 15/15

Extremities

• Bulge in the groin

NOTE: Examination for hernia is best performed with the patient standing and the physician seated in front of the patient. Observation of the groin will reveal an obvious bulge. This can be confirmed as a hernia by placing the hand over the bulge and asking the patient to cough or perform a Valsalva maneuver. When coughing, hernias produce a distinct, soft impulse that increases the protrusion.