HISTORY:
Bulging on for
Onset: , following
Type: , , in size
Worsening factors:
Alleviating factors: ,
, episodes ,
, up to °, over
, episodes ,
, , ,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Abdomen: , , ,
Pelvic: vulva , vagina , cervix , uterus , adnexa ,
Genital: , testicles , penis
ASSESSMENT:
DDx:
PLAN:
- Abdominal ultrasound
- CT scan of the abdomen
-
-
- Hernia truss
- Avoid strenuous activities such as heavy lifting, vigorous exercise, and straining during bowel movements
- Referral to general surgeon
- Follow-up in
- Return if pain becomes persistent, if new symptoms develop such as vomiting or fever
- Go to the ER if severe pain, persistent vomiting, or signs of strangulation such as skin discoloration over the hernia