How are abdominal hernias diagnosed?
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How are abdominal hernias diagnosed?
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@sarkarsatarupa History and physical examination remain the best means of diagnosing hernias. The review of systems should carefully seek out associated conditions, such as ascites, constipation, obstructive uropathy, chronic obstructive pulmonary disease, and cough.
Diagnosis
Laboratory studies include the following:Stain or culture of nodal tissue
Complete blood count (CBC)
Electrolytes, blood urea nitrogen (BUN), and creatinine
Urinalysis
Lactate
Imaging studies are not required in the normal workup of a hernia. However, they may be useful in certain scenarios, as follows:Ultrasonography can be used in differentiating masses in the groin or abdominal wall or in differentiating testicular sources of swelling
If an incarcerated or strangulated hernia is suspected, upright chest films or flat and upright abdominal films may be obtained
Computed tomography (CT) or ultrasonography may be necessary if a good examination cannot be obtained, because of the patient’s body habitus, or in order to diagnose a spigelian or obturator hernia