Femoral hernia physical examination

Femoral hernia Microchapters
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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

Patients with femoral hernia usually appear normal. Physical examination of patients with femoral hernia is usually remarkable for swelling or lump below the inguinal ligament. It is a difficult diagnosis and maybe impossible to differentiate from inguinal hernia. If incarceration is present, the swelling or lump maybe tender.

Physical Examination

• The presence of lump or swelling below the inguinal ligament on physical examination is highly suggestive of femoral hernia.

Appearance of the Patient

• Patients with femoral hernia usually appear normal.

Vital Signs

• Vital signs of patients with femoral hernia are usually normal.
• If incarceration is present, the following vital signs maybe present indicating sepsis:
  • Fever
  • Tachycardia with regular pulse
  • Low blood pressure

Skin

• Skin examination of patients with femoral hernia is usually normal.

HEENT

• HEENT examination of patients with femoral hernia is usually normal.

Neck

• Neck examination of patients with femoral hernia is usually normal.

Lungs

• Pulmonary examination of patients with femoral hernia is usually normal.

Heart

• Cardiovascular examination of patients with femoral hernia is usually normal.

Abdomen

• Abdominal examination of patients with femoral hernia is usually normal.
• If incarceration is present bowel sounds maybe absent.

Back

• Back examination of patients with femoral hernia is usually normal.

Genitourinary

• Swelling or lump may be present below the inguinal ligament.
• If incarceration is present the palpable swelling below the inguinal ligament may be tender.

Neuromuscular

• Neuromuscular examination of patients with femoral hernia is usually normal.

Extremities

• Extremities examination of patients with femoral hernia is usually normal.

References

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