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Zieman's Inguinal Examination for Hernia
Aka: Zieman's Inguinal Examination for Hernia, Zieman's Tridigital Examination for Hernia
- See Also
- Hernia
- Inguinal Canal Exam
- Indications
- Groin Hernia Evaluation
- Technique
- Examine patient while standing
- Stand at patient's right side
- Place palm of right hand over right lower Abdomen
- Spread and position fingers
- Middle finger along inguinal ligament
- Middle fingertip in External Inguinal Ring
- Index finger over Internal Inguinal Ring
- Ring finger over femoral canal
- Patient performs Valsalva Maneuver or strains
- Repeat procedure on left side with left hand
- Interpretation: Findings suggesting Hernia sac
- Gliding motion of the sac walls
- Viscus protrusion into sac
- References
- Degowin (1987) Diagnostic Examination, p. 495-6