Femoral hernia differential diagnosis

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

Overview

[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].

OR

[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].

Differentiating X from other Diseases

• [Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
• [Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].

• As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].

Preferred Table

Femoral artery aneurysm.

Diseases	History and Symptoms						Physical Examination				Laboratory Findings				Comments
	Swelling	Pain	Nausea	Vomiting	Age/Gender	Location	Physical Finding 1	Physical Finding 2	Physical Finding 3	Physical Finding 4	Ultrasonography	Lab Test 2	Lab Test 3	Lab Test 4
Femoral hernia	+	+/-	+/-	+/-	Female > 45yrs	Below the inguinal ligament
Inguinal hernia	+	+	+/-	+/-	Male > 40yrs	Above the inguinal ligament					Abnormal ballooning of the anteroposterior diameter of the inguinal canal
Femoral artery aneurysm	+	-	-	-	Male > 60 yrs	Usually below the inguinal ligament					Duplex ultrasound used to differentiate between femoral artery aneurysm and femoral hernia				May lead to embolism, thrombosis, rupture and limb ischemia Commonly associated with abdominal aortic aneurysm
Saphenous vein varicosity	+	+/-	-	-	Female	Sephanofemoral junction
Lymphadenopathy	+	+/-	-	-	Both	Femoral canal					Internal echo in cases of lymphadenopathy				Commonly seen with STDs such as herpes simplex virus, granuloma inguinale, lymphogranuloma venereum
Lipoma	+	+/-	-	-	Male and female 40-60 yrs	Occurs any where throughout the body					Echogenic solid mass, often misinterpreted as a fat containing hernia.				Multiple lipomas are seen in Cowden syndrome, Gardner's syndrome

References

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