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
The promise and peril of genome sequencing newborns
Even though doctors and researchers have made great strides in...
scopeblog.stanford.edu
The science and practice of people-centerd health systems
A unique collection of studies exploring the theme of the...
medicalxpress.com
How to protect health workers in conflicts and crisis
Recruiting health workers with high levels of internal motivation is...
medicalxpress.com
People prone to delusions make rushed decisions, research shows
People who are prone to delusions gather insufficient information before...
medicalxpress.com
Despite genetic advances, detection still key in breast cancer
Just a few years before the launch of the first...
scopeblog.stanford.edu
Liberia's Sirleaf sees signs of Ebola 'stabilisation'
Liberian President Ellen Johnson Sirleaf said Wednesday the Ebola outbreak...
medicalxpress.com
Study pinpoints microRNA tied to colon cancer tumor growth
Researchers at the University of Minnesota have identified microRNAs that...
medicalxpress.com
Ebola: Dallas Case Inevitable -- Experts
(MedPage Today) -- Widespread disease is regarded as highly unlikely....
medpagetoday.com
Delayed introduction to gluten appears not to prevent celiac disease in at-risk infants
How can parents with the autoimmune disorder celiac disease prevent...
medicalxpress.com
B and T cell-targeting drug ameliorates chronic graft-versus-host disease in mice
Hematopoietic stem cells (HSCs) can differentiate into all types of...
medicalxpress.com
Teen pregnancies, abortions plunge with free birth control
Teens who received free contraception and were educated about the...
medicalxpress.com
Clinical trial evaluates heterologous prime/boost regimens in preventative HIV vaccination
Almost 40 million people worldwide live with HIV/AIDS, with an...
medicalxpress.com
Access, Education Can Knock Down Teen Pregnancy
(MedPage Today) -- Free contraceptives first step in curbing teen...
medpagetoday.com
Sunshine Act Database Debuts to Skepticism
WASHINGTON (MedPage Today) -- Medical community has little good to...
medpagetoday.com
Montmorency tart cherry juice lowered blood uric acid levels and a marker for inflammation
Tart cherries have long been researched for their association with...
medicalxpress.com
Obesity tied to higher cancer risk for CRC survivors
(HealthDay)—Colorectal cancer (CRC) patients who are overweight or obese when...
medicalxpress.com
What email does to your brain
Have you ever been in a situation in which you...
scopeblog.stanford.edu
Appropriate use criteria established for pediatric ECHO
(HealthDay)—Appropriate use criteria have been developed for the initial use...
medicalxpress.com
New molecule fights oxidative stress, may lead to therapies for cancer and Alzheimer's
Your body has an invisible enemy. One that it creates...
medicalxpress.com
Experimental cervical cancer vaccine looks promising in trial
(HealthDay)—An experimental vaccine meant to protect against nine types of...
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 +