Medical history (history of the patient) represents an important component in the diagnosis of inguinal swelling. Family history What is the general health of your family members? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). How long has the swelling of the groin been present? Did the swelling occur … Groin Swelling: Medical History
Skin and subcutaneous (L00-L99). Epidermal cyst – fluid-filled cavity in the skin area. Lipoma (fat tumor) Folliculitis – inflammation of the upper (outer) part of a hair follicle. Cardiovascular system (I00-I99) Aneurysm (arterial outpouching) of the femoral artery (femoral artery). Saphenous varicosity – varix nodule (varicose vein) of the great saphenous vein (great rose vein); … Groin Swelling: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Inspection and palpation (palpation) of all lymph node stations (cervical, nuchal, supraclavicular, axillary, etc.) [if lymph node enlargement in the inguinal region/groin region is suspected; … Groin Swelling: Examination
2nd order laboratory parameters – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urethral swab (urethral swab) – for fluor urethrales (urethral discharge) or suspected urethritis (urethritis). Vaginal / endocervical smear – for fluor … Groin Swelling: Test and Diagnosis
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Abdominal ultrasonography (ultrasound of the abdominal organs). Computed tomography of the abdomen (abdominal CT)/pelvis (pelvic CT) – for further diagnosis or if malignant neoplasm is suspected.
The following symptoms and complaints may occur together with groin swelling: Leading symptom Groin swelling Associated symptoms Pain Increase in the swelling of the groin, for example, when coughing. Caveat. For non-descended testis (undescended testis), therapy should ideally begin after the sixth month of life and be completed by the first year of life! Basically, … Groin Swelling: Symptoms, Complaints, Signs
