Inguinal Hernia: Difference between revisions

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== Diagnostic Tests/Lab Tests/Lab Values  ==
== Diagnostic Tests/Lab Tests/Lab Values  ==


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To diagnose inguinal hernia, the doctor obtains a thorough medical history and conducts a physical examination. The patient will be asked to stand and/or cough as the doctor palpates the suspected hernia for movement. Typically, no diagnostic tests are necessary, but an ultrasound or CT scan may be utilized in some cases or for differential diagnosis.<br>


== Etiology/Causes  ==
== Etiology/Causes  ==

Revision as of 23:07, 9 February 2013

 

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors - Lindsey Roederer and Stephanie McCauley from Bellarmine University's Pathophysiology of Complex Patient Problems project.

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Definition/Description[edit | edit source]

Inguinal Hernia[1]

Prevalence[edit | edit source]

The most common hernia for males and females is the inguinal hernia.  Approximately 25% of males and 2% of females have an inguinal hernia during their lifetime.  Furthermore, indirect inguinal hernias are more common in both sexes than direct hernias.  Children can also have an inguinal hernia.  The incident rate for children ranges up to 4.5%.  


In the United States, over 1 million abdominal hernia repairs are performed each year.  Of those 1 million repairs, it is estimated that 770,000 of them are inguinal hernia repairs.  Males receive 90% of all inguinal hernia repairs.[2]

Characteristics/Clinical Presentation[edit | edit source]

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Associated Co-morbidities[edit | edit source]

• Congenital abdominal weakness
• Chronic constipation
• Chronic cough
• Enlarged prostate
• Cystic fibrosis
• Overweight or obesity
• Ascites
• Smoking
• Overexertion
• Undescended testicles
• Any condition that increases pressure on the abdominal wall

Medications[edit | edit source]

Antibiotics are prescribed for strangulated hernias if ischemic bowel or infection is suspected. Over-the counter or prescribed medication for pain relief are utilized following surgical procedures.

Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]

To diagnose inguinal hernia, the doctor obtains a thorough medical history and conducts a physical examination. The patient will be asked to stand and/or cough as the doctor palpates the suspected hernia for movement. Typically, no diagnostic tests are necessary, but an ultrasound or CT scan may be utilized in some cases or for differential diagnosis.

Etiology/Causes[edit | edit source]

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Systemic Involvement[edit | edit source]

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Medical Management (current best evidence)[edit | edit source]

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Physical Therapy Management (current best evidence)[edit | edit source]

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Alternative/Holistic Management (current best evidence)[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Case Reports/ Case Studies[edit | edit source]

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Resources
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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. Inguinal Hernia. PubMed Health. Available at: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001956/
  2. Medscape Reference. Hernias. http://emedicine.medscape.com/article/775630-overview#a0199 (accessed 8 February 2013)