Editing Inguinal hernia (section)

== '''Examination''' ==

* Standing:
** Visual inspection - asymmetry, scars
** Visual inspection with cough/valsalva
** Cough with finger over inguinal canal
** Cough with invagination of external ring
** If no bulge identified, but patient describes one, have them walk around, or bring them back another time
* Repeat exam supine
* Check testes
* Assess mass
** Size
** Degree of extension to scrotum
** Location relative to inguinal ligament - femoral hernias normally felt inferior to inguinal ligament, in proximal thigh
* Look for other occult hernias elsewhere
** Remember to discuss what to do for these if found in OT