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Scrotum Ha Reporting Inguinal Area
Scrotum Ha Reporting Inguinal Area
The scrotal skin is thin , rugated (crinkled), and has minimal hair growth. The color of it is a little
slightly darker than the penis'. Rashes and lesions are typically absent. Sebaceous cysts, which
are benign nodules that are tiny, yellowish, firm, and non-tender, are also a sign of a normal
findings.
Abnormal findings
Rashes, lesions, and Inflammation of the penis and scrotum may be seen in Reiter’s syndrome,
an idiopathic inflammatory disorder affecting the skin, joints, and mucous membranes.
Palpate the scrotal contents. Palpate each testis and epididymis between your thumb and first
two fingers (Fig. 26-11). Note size,shape, consistency, nodules, masses and tenderness.
Testes are ovoid, approximately measures about 3.5–5 cm long, 2.5 cm wide, and 2.5 cm deep,
and equal bilaterally in size and shape. They are smooth, firm, rubbery, movable, negative of
nodules, and rather tender to pressure. Compared to the testes, the epididymis is smoother,
softer, nontender and less sensitive.
There is no scrotal hernia if the bulge goes away, although the mass could
be a result of something else. Refer the client for further testing. Prior to
testing, a lump on or around the scrotum should be considered as
malignant demonstrates the contrary.
Kapag may mass remains, ilagay mo yung fingers above the scrotal mass.
If you can get your fingers above the mass,it is suspected hydrocele
Kapag may Bowel sounds as auscultated over the mass indication ng
presence of bowel and a scrotal hernia. Bowel sounds will not be heard
over a hydrocele. Kapag hindi naman napupush the mass into the
abdomen,it is suspect an incarcerated hernia.A hernia is strangulated
when its blood supply is cut off. Usually, the customer complains intense
tenderness and nausea. Refer the patient to the physician right away to
prepare him ready for surgery if you think they might have a strangulated
hernia.
Inspect for inguinal and femoral hernia.Inspect the inguinal and femoral areas for bulges. Ask
the client to turn head and cough or to bear down as if having a bowel movement, and continue
to inspect the areas may reveal a visible bulge or an abnormal motion..
The inguinal and femoral areas are normally free of any presence of bulges.
The bnormal findings of this a hernia may be detected by bulges that develop at the external
inguinal ring or the femoral canal when the client bears down.
As for Palpate for inguinal hernia and inguinal nodes.we need to Ask the client to shift his
weight to the left for palpation of the right inguinal canal and vice versa. Place your right index
finger into the client’s right scrotum and press upward, invaginating the loose folds of skin. We
should Palpate up the spermatic cord as well hanggang sa ma reach the triangular-shaped, slit-
like opening of the external inguinal ring. attempt to push your finger through the opening and,
if possible, continue palpating up the inguinal canal. When your finger is in the canal or at the
external inguinal ring, ask the client to bear down or cough. Feel while examining for any bulges
against your finger. Repeat the process on the other side after that.
Bulging or masses are not normally palpated.
A bulge or mass may indicate a hernia.
Palpate inguinal lymph nodes. If nodes are palpable, we should take the note size, consistency,
mobility or tenderness.
Negative of enlargement or tenderness is normal findings
Enlarged or tender lymph nodes may indicate an inflammatory process or infection of the penis
or scrotum.
Palpate for femoral hernia. Palpate on the front of the thigh in the femoral canal area (Fig. 26-
14). Ask the client to bear down or cough. Feel for bulges. Repeat on the opposite thigh.
Bulges or masses are not normally palpated. Palpable Bulge can be painful or mass as client
especially when bears down or coughs.