Without and with Valsalva maneuver.<ref name="JamadarJacobson2006">{{cite journal|last1=Jamadar|first1=David A.|last2=Jacobson|first2=Jon A.|last3=Morag|first3=Yoav|last4=Girish|first4=Gandikota|last5=Ebrahim|first5=Farhad|last6=Gest|first6=Thomas|last7=Franz|first7=Michael|title=Sonography of Inguinal Region Hernias|journal=American Journal of Roentgenology|volume=187|issue=1|year=2006|pages=185–190|issn=0361-803X|doi=10.2214/AJR.05.1813}}</ref> Preferably also in standing.<ref name="JamadarJacobson2006"/>
===Further workupif detected===
If an inguinal hernia is detected:
*'''Size''' with and without provocation (Valsalva maneuver and/or standing)
*Ability to '''reduce''' by pressure
If the hernia is not clearly within the inguinal canal, check if it lies medially to the inferior epigastric vessels, since it is then classified as a ''direct hernia''.
===Further workup if not detected===
If the pain location may suggest it, also consider performing an '''[[Ultrasonography of femoral hernia]]''' and/or '''[[Ultrasonography of hydronephrosis]]'''.
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