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Examination of Inguino-
scrotal swelling
Dr. Nabarun Biswas
Registrar surgery
MMCH
Out line
1. Prerequisite
2. Asking question
3. Examination
4. Express
What is
Inguino
scrotal
swelling
Prerequisite
Asking questions
1. কি সমসযা, িতকিন ধরে ?
2. উপরে কনরে উঠানামা িরে ?
3. িখরনা আটরি কিরেকিল ?
4. ব্যাথা আরি ?
5. িাকি, কিাষ্ঠিাঠিনয, ব্া প্রস্রাব্ এ সমসযা আরি ?
6. কি িাজ িরেন ?
Examination
Local
Inspection
Palpation
Percussion
Auscultation
Focal
Why occur
What next
Inspection
Position of patient
To note full
Extension of hernia
To see direct hernia
Or varicocele
What to inspect
1. Shape/ Location/ Uni
or bilateral
2. Size
What to inspect
3. Overlying Skin
redness/ oedema
scar
discoloration
Visible peristalsis
4.
5. Position of penis
Palpation
Palpation
1. Temperature
2. Tenderness
3. Get above the
swelling
Palpation
4.Consistency
5.Palpable cough impulse
6. Reducibility
Palpation
7. Deep ring occlusion
test
8. Opposite site
Focal
examination/
Look for
cause

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