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    Examination of Inguinal Hernia PDF

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    Hadid Ali

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    © All Rights Reserved
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    Examination of Inguinal Hernia PDF

    Uploaded by

    Hadid Ali
    3 views1 page

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    3 views1 page

    Examination of Inguinal Hernia PDF

    Uploaded by

    Hadid Ali

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    STEPS FOR EXAMINATION Of INGUINAL HERNIA

    1- Greeting, Introduction, Consent


    Asstam-0-Alaikum, my name is ……….., I am going to examine you, you won’t feel any pain.
    What is your name and age?
    What is your profession?

    2- Screen/Privacy/ Chaperon

    3- Exposure
    Epigastrium should be visible.
    Ask the patient to stand straight, take off his shalwvar and fold the shirt up.

    4- Look
    Observe from front and right side.
    Whether the swelling is Inguinal / Inguinoscrotal or Pure scrotal
    Recurrent swelling, look for scars
    Ask for cough and look for a visible cough impulse.
    Ask for constipation and any urinary complaints.
    Site, Size, Shape, Overlying Skin, Scars, visible pulsations, distended veins over the abdomen
    Penis - Circumcision, Chordae
    Scrotum - Varicocele
    Ask the patient to cough and look at the other hernial orifices (Paraumbilical, umbilical, Epigastric,
    lumbar and incisional hernias).

    5- Palpation
    Warm your hands.
    Ask for any tenderness.
    Check temperature with the back of your hand
    Check for tenderness over the swelling
    Ask the palient to cough and feel for cough impulse over the swelling
    Palpate scrotum, testes, vas deferens
    See undersurface of scrotum for fungal infection, sebaceous cyst
    Look at penis for meatus, stricture, circumcision
    Try to get above the swelling (Can not get above the swelling means it is an inguinoscrotal hernia),
    Can get above the swelling means it is a pure scrotal swelling most likely hydrocele)
    Ask the patient to reduce the hernia, if he cannot reduce don’t try to reduce
    Perform deep ring occlusion test (1.25cm above the middle inguinal point), use tip of right thumb for
    right sided hernia and left thumb for left sided hernia.
    Check Inguinal lymph nodes
    Palpate abdomen deeply, see ascites by shifting dullness and fluid thrill
    Palpate all other hernial orifices
    Percuss urinary bladder
    Check spine tenderness
    Perform a PR examination - for prostate, hard faecal matter
    Auscultate over the swelling for bowel sounds

    DR. WASIF MAJEED CHAUDHRY


    MBBS, FCPS, MHPE
    Associate Professor of General Surgery, LMDC

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