06 / Patient care · Consult
The ED calls: a groin lump that will not go back
- 1Referral
- 2History
- 3Exam
- 4Investigations
- 5Diagnosis
- 6Operate?
- 7Present
- 8Debrief
The referral
ED registrar, 19:50: 'Sixty-eight-year-old man, known inguinal hernia for years, came in because it will not reduce since this morning and he has started vomiting. Tender lump. Can you see him now?'
68-year-old man, a reducible right inguinal hernia for six years on a waiting list, COPD, ex-smoker.