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Ingunal Hernia - Coggle Diagram

- - - - Peritoneum
      - Adipose tissue
      - Transversalis Fascia
      - Transversus Abdominis Muscle
      - Internal Oblique Muscle
      - External Oblique Muscle
      - Scarpa’s Fascia
      - Camper’s layer
- - - - RLQ abdominal pain since 2 days ago
      - Painful feeling due to lump at the right inguinal area
      - Fever
      - No problem in cough and defecation
      - The lump existed for about 1 year ago
      - The lump will be felt if the patient stood up, lifting weight, and Valsalva maneuvering (mengejan)
      - The lump will be gone if the patient took a rest or lye down
      - The lump can’t be massaged back but previously able to be massaged back.
  - - - Compos mentis
        
        Blood pressure 110/70 mmHg
        
        Heart rate 80 times per minute
        
        Respiration rate 22 times perminute
        
        Temperature 38,5 degree celcius
    - - Inspection: Distention
      - Palpation: RLQ abdominal pain, jelly consistency, the lump can’t be massaged back, and more painful whenever there’s pressure on the lump.
      - Percussion: Increased tympany sound.
      - Auscultation: Increased peristaltic sound.
- - - - Congenital differences in the strength of your connective tissue (collagen).
      - An opening or weak spot from previous abdominal surgery.
      - Chronic coughing or sneezing.
      - Chronic straining to pee or poop.
      - Frequent strenuous exercise or manual labor.
      - Years of pregnancy and carrying small children