Difference between revisions of "Template:Inguinal hernia - indication and choice of modality"
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↑ LeBlanc, Kim Edward; LeBlanc, Leanne L; LeBlanc, Karl A (15 June 2013). "Inguinal hernias: diagnosis and management.
". American Family Physician 87 (12): 844–8. PMID 23939566. Archived from the original. .
↑ Stavros, A. Thomas; Rapp, Cindy (September 2010). "Dynamic Ultrasound of Hernias of the Groin and Anterior Abdominal Wall
". Ultrasound Quarterly 26 (3): 135–169. doi:. PMID 20823750.
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| + | ===Indication for imaging=== | ||
| + | In strong '''[[abdominal pain]]''', a suspected strangulated hernia indicates '''surgery''' without previous medical imaging. | ||
| + | |||
| + | A physician may diagnose an inguinal hernia, as well as the type, from medical history and physical examination.<ref>{{cite journal |last1=LeBlanc |first1=Kim Edward |last2=LeBlanc |first2=Leanne L |last3=LeBlanc |first3=Karl A |title=Inguinal hernias: diagnosis and management. |journal=American Family Physician |date=15 June 2013 |volume=87 |issue=12 |pages=844–8 |pmid=23939566 |url=http://www.aafp.org/link_out?pmid=23939566}}</ref> Imaging is therefore indicated for confirmation or in uncertain cases. | ||
| + | |||
===Choice of modality=== | ===Choice of modality=== | ||
| − | + | *'''[[Ultrasonography of inguinal hernia]]''' is otherwise generally the initial choice of investigation, since it can diagnose the condition, in Valsalva maneuver and standing if necessary, as well as being able to determine the ability to reduce any hernias by pressure.<ref name="StavrosRapp2010">{{cite journal |last1=Stavros |first1=A. Thomas |last2=Rapp |first2=Cindy |title=Dynamic Ultrasound of Hernias of the Groin and Anterior Abdominal Wall |journal=Ultrasound Quarterly |date=September 2010 |volume=26 |issue=3 |pages=135–169 |doi=10.1097/RUQ.0b013e3181f0b23f |pmid=20823750 }}</ref> | |
| − | *'''[[Ultrasonography of inguinal hernia]]''' is otherwise generally the initial choice of investigation, since it can diagnose the condition, in Valsalva maneuver and standing if necessary, as well as being able to determine the ability to reduce any hernias by pressure. | ||
*'''[[Abdominal CT of inguinal hernia]]''' is indicated in unspecific abdominal symptoms, in order to better diagnose possible differential diagnoses. | *'''[[Abdominal CT of inguinal hernia]]''' is indicated in unspecific abdominal symptoms, in order to better diagnose possible differential diagnoses. | ||
Revision as of 12:16, 11 April 2019
Indication for imaging
In strong abdominal pain, a suspected strangulated hernia indicates surgery without previous medical imaging.
A physician may diagnose an inguinal hernia, as well as the type, from medical history and physical examination.[1] Imaging is therefore indicated for confirmation or in uncertain cases.
Choice of modality
- Ultrasonography of inguinal hernia is otherwise generally the initial choice of investigation, since it can diagnose the condition, in Valsalva maneuver and standing if necessary, as well as being able to determine the ability to reduce any hernias by pressure.[2]
- Abdominal CT of inguinal hernia is indicated in unspecific abdominal symptoms, in order to better diagnose possible differential diagnoses.
