Hernia examination Flashcards
What are the steps of a hernia examination?
Inspection
Palpation
Auscultation
Special tests
What do you inspect?
The groin for a swelling
Scrotum
Relationship of hernia to other anatomical landmarks
What special tests should you do?
Cough impulse test
What should you palpate?
Feel for the hernia
Feel during cough impulse
Reduce the hernia and then see if you can control it whilst coughing
What questions should you answer in a scrotal exam?
Can you get above the swelling?
Can the testis and epididymis be identified separately?
Does the swelling transilluminate?
Is the swelling tender?
What could a lump in the testes be? Testicular pathology
Testicular tumours
Orchitis
Torsion
Torsion of testicular appendix
What could a lump in the testes be? Processus vaginalis remnants
Hydrocele
Haematocele
What could a lump in the testes be? Epididymis pathology
Epididymal cust
Epididymitis
What could a lump in the testes be? Pampiniform venous plexus
Varicocele
