Inguinal hernia physical examination

Patients with inguinal hernia usually appear good. Physical examination of patients with inguinal hernia is usually remarkable for bulge in the groin, painless scrotal mass and palpable abdominal mass may be present.

• Physical examination of patients with inguinal hernia is usually remarkable for bulge in the groin, painless scrotal mass and palpable abdominal mass may be present.

• Patients with inguinal hernia usually appear good.

• Normal vital signs

• No skin abnormality

• No HEENT abnormality

• No neck abnormality

• Clear

• Normal S1 and S2

• A palpable abdominal mass in the flank may be present ^[1]
• Abdominal distention

• No back abnormality

• Painless scrotal mass may be present

• Patient is usually oriented to persons, place, and time
• Glasgow coma scale is 15/15

• Bulge in the groin ^[2]

NOTE: Examination for hernia is best performed with the patient standing and the physician seated in front of the patient. Observation of the groin will reveal an obvious bulge. This can be confirmed as a hernia by placing the hand over the bulge and asking the patient to cough or perform a Valsalva maneuver. When coughing, hernias produce a distinct, soft impulse that increases the protrusion.

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