IS IKHSAN HATAUL

A hernia occurs when an internal

organ or other body part
protrudes through the wall of
muscle or tissue that normally
contains it. Most hernias occur
within the abdominal cavity,
between the chest and the hips.
Inguinal Hernia
History taking
In an emergency setting, a patient with
a hernia may present because of a
complication associated with the
hernia, or the hernia may be detected
on routine physical examination.
In most instances, the diagnosis of
hernia is made because a patient,
parent, or provider has observed a
bulge in the inguinal region or scrotum.
Inguinal hernias may cause a burning, gurgling, or aching
sensation in the groin, and a heavy or dragging sensation may
worsen toward the end of the day and after prolonged activity

Inguinal hernias are extremely common and can often be

diagnosed by simple anamnesis collection and a physical
examination
Physical Examination
• Examination of an adult for an inguinal hernia is best performed from
the seated position, with the patient standing
• The inguinal canal areas for the bulge are visualized. A provocative
cough may be necessary to expose the hernia; the cough is repeated
as the examiner invaginates the scrotum and feels for an impulse.
• The diameter of the internal ring is assessed. Palpation of the cord
structures is performed with the finger gently rolling perpendicular to
the long axis of the cord just medial to the internal ring; this can
detect thickening of the cord.
Physical Examination
Diagnose