Examination of a case of Hernia

HISTORY

• • Age-

  • Occupation-

COMPLAINTS-

• 1. Pain-

  2. Lump-

  3. Systemic symptoms-

  4. Other complaints-

Past History-

LOCAL EXAMINATION

Position of the patient- Patient is first examined in the standing position and then in the supine position.

INSPECTION-

• 1. Swelling-

  2. Skin over the swelling-

  3. Impulse on coughing-

  4. Position of the penis-

PALPATION-

• 1. Position & Extent-

  2. To get above the swelling-

  3. Consistency-

  4. Relation of the swelling to the testis & spermatic cord-

  5. Impulse on coughing-

  6. Is the swelling reducible?-

  7. Invagination test-

  8. Ring occlusion test-

  9. In case of a child-

PERCUSSION-

AUSCULTATION-

Examine the testis, epididymis & spermatic cord-

Examine the tone of the abdominal muscles-

General Examination-

Differential Diagnosis of Inguinal Hernia

Hernia Repair

Hernia