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In the approach to the diagnosis of groin pain, a mass or tender structure is usually present in the groin. If the mass is a lymph node, careful examination of the genitalia and lower extremities will often show the cause, but a urethral or vaginal smear and culture may be necessary to show gonorrhea. Investigation of the genitourinary (GU) tract and the GI tract for causes of referred pain is then undertaken, if the mass is reducible a hernia is likely and referral to a surgeon is in order. Incarcerated hernias, of course, demand immediate referral.
Source: Differential Diagnosis in Primary Care, 2007
In the approach to the diagnosis of groin pain, a mass or tender structure is usually present in the groin. If the mass is a lymph node, careful examination of the genitalia and lower extremities will often show the cause, but a urethral or vaginal smear and culture may be necessary to show gonorrhea. Investigation of the genitourinary (GU) tract and the GI tract for causes of referred pain is then undertaken. If the mass is reducible, a hernia is likely and referral to a surgeon is in order. Incarcerated hernias, of course, demand immediate referral.
Source: Differential Diagnosis in Primary Care, 2007
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