Femoral hernia diagnostic study of choice: Difference between revisions

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=== Study of choice: ===
=== Study of choice: ===
* [Name of the investigation] is the gold standard test for the diagnosis of [disease name].
*Ultrasound is the diagnostic study of choice for the diagnosis of femoral hernia.
* The following result of [gold standard test] is confirmatory of [disease name]:
*[[Ultrasound]] may be helpful in the diagnosis of femoral hernia. Findings on an ultrasound suggestive of femoral hernia include:<ref name="pmid25489584">{{cite journal |vauthors=Yang XF, Liu JL |title=Acute incarcerated external abdominal hernia |journal=Ann Transl Med |volume=2 |issue=11 |pages=110 |year=2014 |pmid=25489584 |pmc=4245506 |doi=10.3978/j.issn.2305-5839.2014.11.05 |url=}}</ref>
** Result 1
**Expansion of the [[intestines]] with reverse [[peristalsis]]
** Result 2
**Fixed masses without [[peristalsis]]
**Expansion of a fluid filled [[bowel]]
**[[Intestinal]] fluid [[reflux]]
**Thickening and [[edema]] of the [[intestinal wall]]
**Slightly [[echogenic]], long strip shaped [[omentum]] in the [[hernia]] sac
 
*Color [[doppler ultrasound]]  may be helpful in the diagnosis of complications of femoral hernia; incarceration by observing the [[blood]] supply in the contents of the [[hernia]] sac.<ref name="pmid25489584">{{cite journal |vauthors=Yang XF, Liu JL |title=Acute incarcerated external abdominal hernia |journal=Ann Transl Med |volume=2 |issue=11 |pages=110 |year=2014 |pmid=25489584 |pmc=4245506 |doi=10.3978/j.issn.2305-5839.2014.11.05 |url=}}</ref>
* The [name of the investigation] should be performed when:
* The [name of the investigation] should be performed when:
** The patient presented with symptoms/signs 1. 2, 3.
** The patient presented with symptoms/signs 1. 2, 3.
Line 44: Line 50:


===== Diagnostic results =====
===== Diagnostic results =====
The following result of [investigation name] is confirmatory of [disease name]:
*[[Ultrasound]] may be helpful in the diagnosis of femoral hernia. Findings on an ultrasound suggestive of femoral hernia include:<ref name="pmid25489584">{{cite journal |vauthors=Yang XF, Liu JL |title=Acute incarcerated external abdominal hernia |journal=Ann Transl Med |volume=2 |issue=11 |pages=110 |year=2014 |pmid=25489584 |pmc=4245506 |doi=10.3978/j.issn.2305-5839.2014.11.05 |url=}}</ref>
* Result 1
**Expansion of the [[intestines]] with reverse [[peristalsis]]
* Result 2
**Fixed masses without [[peristalsis]]
**Expansion of a fluid filled [[bowel]]
**[[Intestinal]] fluid [[reflux]]
**Thickening and [[edema]] of the [[intestinal wall]]
**Slightly [[echogenic]], long strip shaped [[omentum]] in the [[hernia]] sac
 
*Color [[doppler ultrasound]]  may be helpful in the diagnosis of complications of femoral hernia; incarceration by observing the [[blood]] supply in the contents of the [[hernia]] sac.<ref name="pmid25489584">{{cite journal |vauthors=Yang XF, Liu JL |title=Acute incarcerated external abdominal hernia |journal=Ann Transl Med |volume=2 |issue=11 |pages=110 |year=2014 |pmid=25489584 |pmc=4245506 |doi=10.3978/j.issn.2305-5839.2014.11.05 |url=}}</ref>


===== Sequence of Diagnostic Studies =====
===== Sequence of Diagnostic Studies =====
The [name of investigation] should be performed when:
The ultrasound should be performed when:
* The patient presented with symptoms/signs 1, 2, and 3 as the first step of diagnosis.
* The patient presented with swelling or lump in the upper thigh as the first step of diagnosis.
* A positive [test] is detected in the patient, to confirm the diagnosis.


=== Diagnostic Criteria ===
=== Diagnostic Criteria ===
* Here you should describe the details of the diagnostic criteria.
*Always mention the name of the criteria/definition you are about to list (e.g. modified Duke criteria for the diagnosis of endocarditis / 3rd universal definition of MI) and cite the primary source of where this criteria/definition is found.
*Although not necessary, it is recommended that you include the criteria in a table. Make sure you always cite the source of the content and whether the table has been adapted from another source.
*Be very clear as to the number of criteria (or threshold) that needs to be met out of the total number of criteria.
*Distinguish criteria based on their nature (e.g. clinical criteria / pathological criteria/ imaging criteria) before discussing them in details.
*To view an example (endocarditis diagnostic criteria), click [[Endocarditis diagnosis|here]]
*If relevant, add additional information that might help the reader distinguish various criteria or the evolution of criteria (e.g. original criteria vs. modified criteria).
*You may also add information about the sensitivity and specificity of the criteria, the pre-test probability, and other figures that may help the reader understand how valuable the criteria are clinically.
* [Disease name] is mainly diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name].
* There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...].
* The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
* The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
* [Disease name] may be diagnosed at any time if one or more of the following criteria are met:
** Criteria 1
** Criteria 2
** Criteria 3
IF there are clear, established diagnostic criteria:
*The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
*The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
*The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
IF there are no established diagnostic criteria: 
*There are no established criteria for the diagnosis of [disease name].
*There are no established criteria for the diagnosis of [disease name].


==References==
==References==

Revision as of 21:13, 5 February 2018

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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

Diagnostic Study of Choice

Template statements

Study of choice:

  • Color doppler ultrasound may be helpful in the diagnosis of complications of femoral hernia; incarceration by observing the blood supply in the contents of the hernia sac.[1]
  • The [name of the investigation] should be performed when:
    • The patient presented with symptoms/signs 1. 2, 3.
    • A positive [test] is detected in the patient.
  • [Name of the investigation] is the gold standard test for the diagnosis of [disease name].
  • The diagnostic study of choice for [disease name] is [name of the investigation].
  • There is no single diagnostic study of choice for the diagnosis of [disease name].
  • There is no single diagnostic study of choice for the diagnosis of [disease name], but [disease name] can be diagnosed based on [name of the investigation 1] and [name of the investigation 2].
  • [Disease name] is mainly diagnosed based on clinical presentation.
  • Investigations:
    • Among patients who present with clinical signs of [disease name], the [investigation name] is the most specific test for the diagnosis.
    • Among patients who present with clinical signs of [disease name], the [investigation name] is the most sensitive test for diagnosis.
    • Among patients who present with clinical signs of [disease name], the [investigation name] is the most efficient test for diagnosis.

The comparison table for diagnostic studies of choice for [disease name]

Sensitivity Specificity
Test 1 ✔ ...%
Test 2 ...% ✔

✔= The best test based on the feature

Diagnostic results
  • Color doppler ultrasound may be helpful in the diagnosis of complications of femoral hernia; incarceration by observing the blood supply in the contents of the hernia sac.[1]
Sequence of Diagnostic Studies

The ultrasound should be performed when:

  • The patient presented with swelling or lump in the upper thigh as the first step of diagnosis.

Diagnostic Criteria

  • There are no established criteria for the diagnosis of [disease name].

References

  1. ↑ 1.0 1.1 1.2 1.3 Yang XF, Liu JL (2014). "Acute incarcerated external abdominal hernia". Ann Transl Med. 2 (11): 110. doi:10.3978/j.issn.2305-5839.2014.11.05. PMC 4245506. PMID 25489584.

Template:WH Template:WS

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