Introduces self | 0 | 1 | |
Confirms name & age of patient | 0 | 1 | |
Explains & gains consent | 0 | 1 | |
Arranges chaperone, closes curtains/sign/locks door | 0 | 1 | |
Washes hands | 0 | 1 | |
Asks if patient is in pain | 0 | 1 | |
Exposes patient from waist down and asks them to stand | 0 | 1 | |
General inspection around bed and patient for scars, swellings, lumps | 0 | 1 | |
Asks patient to cough, observing for impulse in groin and scrotal areas | 0 | 1 | |
For swelling, describes size, shape, surface, consistency, colour, edge, temperature of any masses. Determines if mass is accentuated by coughing | 0 | 1 | |
Place fingers over superficial ring and determine if there is any cough impulse | 0 | 1 | |
Ask patient to reduce the hernia (which might require them to lie down) | 0 | 1 | |
Palpate over deep ring and feel for a cough impulse to determine if hernia is direct or indirect | 0 | 1 | |
Percuss over hernia | 0 | 1 | |
Auscultate the hernia | 0 | 1 | |
Place fingers over superficial ring on the other side and determine if there is any cough impulse | 0 | 1 | |
If hernia present, ask patient to reduce the hernia | 0 | 1 | |
Palpate over deep ring and feel for a cough impulse | 0 | 1 | |
If hernia present, percuss and auscultate the hernia | 0 | 1 | |
Palpate inguinal lymph nodes | 0 | 1 | |
Palpate femoral artery and auscultate for bruits | 0 | 1 | |
Thanks patient and offers help to redress | 0 | 1 | |
Washes hands | 0 | 1 | |
Requests abdominal examination and examination of the external genitalia | 0 | 1 | |
Summarise appropriately with only key findings. | 0 | 1 | |
Offer appropriate differential diagnoses. | 0 | 1 | |
Patient global score | 0 | 1 | 2 |
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