MORNING REPORT

Saturday, April 11
2011
Sandi, Indah, Beny

th

Patient M, male, 5 years and 3 months old, came to AA hospital at

may 8th 2011.
Chief complaint
A bump on the left scrotum since 1 week before entering to the hospital.

Present illness
history
Since 3 days after the patient
was born, his mother complained
a bump in the left scrotum and
extending to above the pubic
which often is seen when the
patient cried. Bump as big as
lizard egg. Bump is not visible if
the patient didnt cry.

Bump increasingly being seen after

patient played or cried. Not seen

when patient wake up. If bump seen,
his mother just sort the bump. Bump
can still be repositioned.

Since 1 week before entering to

the hospital, his mother complained

of bump on scrotum patients cannt
be repositioned again. Patients are
not nervous and felt no pain when a
lump in press. No complained of
fever, nausea and vomiting.
defecation no complained.

Patient history
Patient was born enough
months (9
months).
Birth weight was 2400 grams.

Physical Examination :
General status : Does not look
sick

consciousness
:
composmentis
Vital sign :
Pulse : 90 times/minute
RR
: 22 times/minute
Temp : 36,7 C (axilla)

Head and neck

Thorax

Abdomen
Genitourinary
Extremity

:
:
:
:
:

normally
normally
Localize
Localize
normally

LOCALIZE STATUS :
Abdomen
Inspection : distention (-)
Auscultation : bowel sound 5
times/minute, normal
Percussion: tympani
Palpation : defans musculer and,
tenderness not present
on all
abdominal field.

The left inguinal-genital

Inspection : visible a oval bump from

the left inguinal to the left scrotum,

the
size as big as lizard eggs.
Auscultation : bowel Noisy (+)
Palpation : soft bump, no tenderness,
bump
cannt be repositioned. Testis
is
palpable 2 pieces.
Special Inspection

Transluminasi (-)

DIAGNOSIS
Left hernia inguinalis lateralis irreponible

Examination of routine blood:

Hb : 10,5 g/dl
WBC : 11.700 /mm3
Platelet : 377.000/ mm3
Ht : 32,6 vol%

MANAGEMENT
herniotomy

Thanks