External inguinal ring impact test

The inguinal outer ring impact test is an auxiliary examination method for checking the normal position of the abdominal groin. After the sacral sac is returned to the abdominal cavity, the outer ring is enlarged by the tip of the finger through the scrotal skin. In general, the size of the outer ring is of little clinical significance. When the outer ring is enlarged, the fingertip can enter the groin smoothly. Tube, examination and understanding of the posterior wall of the inner ring and the inguinal canal have guiding significance for proposing appropriate surgical methods. Some occult oblique hernias can establish their existence through this test, but this method of examination causes great discomfort to the patient. Feeling, it is not necessary to routinely perform the diagnosis, when the finger enters the inguinal canal, and it is easy to enter the abdominal cavity and the abdominal cavity, indicating that the inner ring is enlarged, and the posterior wall of the inguinal canal has been severely damaged, and the posterior wall of the inguinal can be repaired. . Basic Information Specialist classification: Digestive examination classification: other examinations Applicable gender: whether men and women apply fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: The superficial lymph nodes of healthy people are small, no more than 1 cm in diameter, soft in texture, smooth in surface, difficult to reach, and no tenderness and adhesion to adjacent tissues. Positive: The small mass in the early stage can be confined to the groin. As the disease progresses, the mass gradually enlarges and enters the scrotum. The upper end is narrow and outwardly obliquely into the inguinal canal. The lower end is wide and plump, resembling a pear-like typical inguinal hernia. 1, easy to reversal inguinal hernia, the mass often appears when standing, walking, labor or cough, quietly and peacefully back to rest automatically, or disappeared by hand massage. 2, refractory inguinal hernia is due to the slight friction between the contents of the sputum and the inner wall of the sputum, causing adhesion between the two, so that the contents of the sputum can not be pushed back completely into the abdominal cavity. Therefore, the mass is only reduced to a different extent, and does not completely disappear with changes in body position and abdominal pressure. Common in patients with long disease duration and large hernia sac. Tips: Relax your body while checking and actively cooperate with your doctor. Normal value In general, the groin is normally expressed as about 600 to 700 human lymph nodes. Clinically, only the superficial lymph nodes of the body can be examined. The superficial lymph nodes of healthy people are small, no more than 1 cm in diameter, soft in texture, smooth in surface, difficult to reach, and no tenderness and adhesion to adjacent tissues. Clinical significance Abnormal result When the abdominal abnormality is found during the examination, there may be an inguinal hernia. An important clinical manifestation of the inguinal hernia is a swelling of the inguinal region. The finger enters the inguinal canal, and it is easy to enter the abdominal cavity and the abdominal intestine, indicating that the inner ring is enlarged, and the posterior wall of the inguinal canal has been severely damaged, and the posterior wall repair must be performed. The small mass in the early stage can be confined to the groin. As the disease progresses, the mass gradually enlarges and enters the scrotum. The upper end is narrow and outwardly obliquely into the inguinal canal. The lower end is wide and plump, resembling a pear-like typical inguinal hernia. 1, easy to reversal inguinal hernia, the mass often appears when standing, walking, labor or cough, quietly and peacefully back to rest automatically, or disappeared by hand massage. 2, refractory inguinal hernia is due to the slight friction between the contents of the sputum and the inner wall of the sputum, causing adhesion between the two, so that the contents of the sputum can not be pushed back completely into the abdominal cavity. Therefore, the mass is only reduced to a different extent, and does not completely disappear with changes in body position and abdominal pressure. Common in patients with long disease duration and large hernia sac. People who need to be examined: patients with inguinal hernia, this is also a routine physical examination, this test is suitable for people of any age. Precautions Requirements for inspection: 1 In order to avoid the abdominal muscle tension of the examinee, the examiner may first place the palm on the abdominal wall, so that the examinee can adapt to a moment and then palpate the examination; 2 When checking, you can talk to the examinee at the same time, diverting your attention and reducing abdominal muscle tension; 3 Various palpation techniques should be combined with different inspection sites for flexible application. Inspection process After the sacral sac is returned to the abdominal cavity, the outer ring is enlarged by the tip of the finger through the scrotal skin. In general, the size of the outer ring is of little clinical significance. When the outer ring is enlarged, the fingertip can enter the groin smoothly. Tube, examination and understanding of the posterior wall of the inner ring and the inguinal canal have guiding significance for proposing appropriate surgical methods. The patient usually takes a standing position to reveal the entire abdomen including the groin area. The position, shape, touch texture, tension, temperature, etc. of the mass should be observed, and compared with the contralateral side, the small clam block sometimes does not fall during the examination, even if It is also vain to let the patient stand or cough for a long time. In this case, the spermatic cords on both sides can be carefully touched. Usually, the thickened hernia sac can be touched on the affected side, which can be used as an indirect sign of sputum, a scrotal mass. Should pay attention to check the surrounding edge of the mass, especially pay attention to its upper edge, whether you can touch a normal spermatic cord, such as the upper edge of the mass with a pedicle and into the inguinal canal, you should consider the diagnosis of sputum. Not suitable for the crowd Inappropriate people: those with mental disorders. Adverse reactions and risks Nothing.

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