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
Recorded Ebola deaths top 7,000
The worst Ebola outbreak on record has now killed more...
medicalxpress.com
New Dominican law OKs abortion if life at risk
The Dominican Republic on Friday approved a law that for...
medicalxpress.com
Liberia holds Senate vote amid Ebola fears
Health workers manned polling stations across Liberia on Saturday as...
medicalxpress.com
FDA OKs Cubist antibiotic for serious infections
The Food and Drug Administration has approved a new medicine...
medicalxpress.com
Concerns raised about variable performance of some UK personal use breathalyzers
The ability of some breathalyzers widely sold to the UK...
medicalxpress.com
A winter break for Scope
Happy Holidays from all of us at Scope! We’re taking...
scopeblog.stanford.edu
Doc Groups Pan Meaningful Use Penalties
(MedPage Today) -- The program's "pass-fail" system is rigid and...
medpagetoday.com
Stanford dietitian explains how – not just what – you eat matters
Recent posts, including this one from last week and this...
scopeblog.stanford.edu
FDA approves AbbVie combo hepatitis C treatment
Patients with chronic hepatitis C have a new option for...
medicalxpress.com
Lost memories might be able to be restored, new study indicates
New UCLA research indicates that lost memories can be restored....
medicalxpress.com
AstraZeneca cancer drug, companion test approved
U.S. regulators on Friday granted accelerated approval to the first...
medicalxpress.com
Flu season, early again, hitting hard in South and Midwest
Health officials say the flu is now hitting hard in...
medicalxpress.com
Brazil to study legalization of medical marijuana
The Brazilian government says it will study the possibility of...
medicalxpress.com
Early exposure to antidepressants affects adult anxiety and serotonin transmission
About 15 percent of women in the United States suffer...
medicalxpress.com
Few Women Have Coverage for Egg Freezing
(MedPage Today) -- Such coverage is rare even for women...
medpagetoday.com
Long-Term Benzo Use Rampant in Older Patients
(MedPage Today) -- Cautions against the practice go unheeded by...
medpagetoday.com
This Week: Yes to SG Nominee, No to SGR Fix
(MedPage Today) -- Murthy confirmed, Congress let physicians stew, and...
medpagetoday.com
FDA OKs '3D' Combo for Hepatitis C
(MedPage Today) -- Drugs highly effective in clinical trials....
medpagetoday.com
MedPAC Wants Overhaul of Primary Care Bonus
(MedPage Today) -- Also seeks curbs on hospital admissions for...
medpagetoday.com
Olaparib Wins FDA Approval for Ovarian Cancer
(MedPage Today) -- But could be yanked if confirmatory trials...
medpagetoday.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 +