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Diagnostic Tests for Groin swelling

Diagnostic Test list for Groin swelling:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Groin swelling includes:

  • Physical examination
    • Look and feel any obvious swelling in the groin. If not apparent, asking the person to cough may make the lump appear and suggests a hernia feel the area of the swelling and ask the person to cough to feel the lump expand and a cough impulse which usually suggests an inguinal hernia
    • Determine if the swelling is reducible which suggests a femoral or inguinal hernia
    • Determine if the swelling transilluminates when a torch is used. If the lump does transilluminate, this may suggest a hydrocele of the spermatic cord
    • Observe the skin overlying the groin lump. If red may suggest a strangulated hernia or abscess
    • Feel for pulsatility of the lump which suggest femoral artery aneurysm
    • Examine the testicles within the scrotum, if testicle is absent the groin lump may suggest undescended testes
    • Examine the skin of leg for any evidence of infection which may be draining to the groin lymph nodes
  • Blood tests
    • Full blood count and ESR
    • Renal function tests and electrolytes
    • Syphilis serology, if indicated
    • HIV serology, if indicated
    • Lymphogranuloma venereum (LGV) serological test, if suspected
  • Swab and culture the base of any lesions - to diagnose genital herpes, syphilitic ulcer, Chancroid (Haemphilus ducreyi).
  • Radiological investigation
    • Groin ultrasound can confirm hernia and determine type
    • Bone scan may help rule out a psoas abscess
    • Arteriography may help diagnose femoral artery aneurysm
    • Venography or Doppler ultrasound scan will help diagnose saphenous varix
  • Exploratory surgery - will be necessary in many cases for both diagnosis and treatment.
  • Lymph node biopsy - may be required for definitive diagnosis of Hodgkin's disease and Non- Hodgkin's lymphoma.

Conditions listing medical symptoms: Groin swelling:

The following list of conditions have 'Groin swelling' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Groin swelling or choose View All.

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