Week 7

CASE: A young man reports for his college physical. He is found to be in good health, with the single complaint of an occasional feeling of "fullness" in the groin area following exertion. The physician inserts a gloved finger into the superficial inguinal ring on the affected side, and asks the patient to cough gently. She feels pressure at the tip of her finger; this pressure recedes when the patient relaxes his abdominal muscles.

What is the likely diagnosis in this case?

A. femoral hernia

B. varicocele

C. direct inguinal hernia

D. testicular tumor

E. indirect inguinal hernia


The superficial inguinal ring is an opening in the

A. rectus sheath

B. external oblique aponeurosis

C. middle spermatic fascia

D. transversalis fascia

E. peritoneum


The boundaries of Hesselbach's (inguinal) triangle include the inguinal ligament, the lateral border of rectus abdominis, and the

A. median umbilical fold

B. medial umbilical fold

C. linea semilunaris

D. inferior epigastric artery


Answers to identificalions

A - liver

B - descending colon

C - internal oblique muscle