Quantcast Figure 3-10. Palpation of an inguinal hernia. - The Gastrointestinal System

Share on Google+Share on FacebookShare on LinkedInShare on TwitterShare on DiggShare on Stumble Upon
Custom Search
 
  
 
d. Diagnosis. An inguinal hernia is usually diagnosed by examination rather
than by patient history. Begin by asking the patient to stand while you sit. Perform an
inspection by examination. Look at the inguinal area carefully for bulges. While you
continue looking, ask the patient to strain down. Next, examine by palpation. Use your
right hand when palpating the patient's right side and your left hand when palpating the
patient's left side. Place the index finger of the hand you are using inside the loose
scrotal skin as shown in figure 3-10. Beginning at a point low enough so that your finger
can move with ease, follow the spermatic cord upward to the triangular slit-like opening
of the external inguinal ring. You may be able to put your finger through the inguinal
ring if it is somewhat enlarged. Gently, move your finger, if possible, along the inguinal
canal. Have your finger either at the external ring or in the inguinal canal and ask the
patient to cough or strain down. Feel for any palpable herniating mass as it touches
your finger.
Figure 3-10. Palpation of an inguinal hernia.
e. Treatment. Generally, whether or not an inguinal hernia hurts, it is a
potential hazard and requires surgical correction. A piece of intestine can be trapped in
the bulge. The protruding intestine may swell and/or the hole through which it has
protruded may get smaller making it impossible for the organ to move back into the
abdominal cavity. The hernia is then called an incarcerated hernia. Of a more serious
nature is a strangulated hernia. If the incarcerated hernia does not receive prompt
surgical attention, the hole through which the organ protrudes can become so tight that
the blood supply to the protruding intestine is cut off. This can lead to death of the
tissue and subsequent death of the patient unless emergency surgery is performed
resectioning the entrapped intestine. (The part of the intestine caught in the opening is
removed and the rest of the intestine connected.) It is much better to repair a hernia on
a nonemergency basis, if possible.
MD0581
3-21



Medical News
PET-CT predicts lymphoma survival better than conventional imaging
Positron emission tomography/computed tomography (PET-CT) is more accurate than conventional...
medicalxpress.com
Wild berry extract may strengthen effectiveness of pancreatic cancer drug
A wild berry native to North America may strengthen the...
medicalxpress.com
EHRs Don't Save Money or Time, Docs Say
(MedPage Today) -- Three-fourths of U.S. physicians who use electronic...
medpagetoday.com
US experts skeptical of testosterone drug benefits
U.S. health experts say there is little evidence that testosterone-boosting...
medicalxpress.com
First-ever research study examines impacts of diet and lifestyle on healthy aging
A new, first-of-its-kind research study was announced today that will...
medicalxpress.com
France to receive first Ebola patient
France on Wednesday prepared to receive its first Ebola patient,...
medicalxpress.com
In mice, vaccine stops urinary tract infections linked to catheters
The most common type of hospital-associated infection may be preventable...
medicalxpress.com
Kudos for RT in High-Risk Prostate Ca (CME/CE)
SAN FRANCISCO (MedPage Today) -- High-risk prostate cancer includes a...
medpagetoday.com
Study: Americans endure unwanted care near death
Americans suffer needless discomfort and undergo unwanted and costly care...
medicalxpress.com
New non-invasive technique could revolutionize the imaging of metastatic cancer
Bioluminescence, nanoparticles, gene manipulation – these sound like the ideas...
medicalxpress.com
An autoimmune response may contribute to hypertension
High blood pressure is a major risk factor for heart...
medicalxpress.com
CT scan is no more accurate than ultrasound to detect kidney stones
To diagnose painful kidney stones in hospital emergency rooms, CT...
medicalxpress.com
For some lung cancer patients, surgery may yield better long-term results
Patients with early stage non-small cell lung cancer (NSCLC) who...
medicalxpress.com
Chromosome buffers hold key to better melanoma understanding
Buffers that guard against damage to the ends of chromosomes...
medicalxpress.com
Failed Medicare payments law remains relevant
In a new commentary in the journal JAMA Surgery, Dr....
medicalxpress.com
Sativex Helps MS Spasticity in Objective Tests
BOSTON (MedPage Today) -- An objectively measured sign of spasticity...
medpagetoday.com
A computer kit could lead to better way to design synthetic molecules
Slipping something small into cells to regulate gene expression has...
scopeblog.stanford.edu
Thyroid Ca Rates, Smoking Survivors: The Clin Onc News Report
(MedPage Today) -- A regular update on what?s new in...
medpagetoday.com
US scientist: Ebola unlikely to become airborne
It is unlikely that Ebola would mutate to spread through...
medicalxpress.com
PTSD symptoms associated with increased food addiction
Symptoms of posttraumatic stress disorder (PTSD) were associated with increased...
medicalxpress.com
 


Privacy Statement - Copyright Information. - Contact Us

comments powered by Disqus

Integrated Publishing, Inc.
9438 US Hwy 19N #311 Port Richey, FL 34668

Phone For Parts Inquiries: (727) 755-3260
Google +