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Sagot :
Have the child blow up a balloon.
To locate an inguinal hernia, the nurse typically places his or her finger at the appropriate site and asks the child to cough. If the child is too young to cough, such as at 18 months of age, the nurse can have the child blow up a balloon or laugh to raise the intraabdominal pressure enough to show the presence of an inguinal hernia. The nurse palpates the sac for abdominal contents and estimates the approximate size of the opening in the case of umbilical hernias.
A femoral hernia, which is felt or seen as a small mass on the anterior surface of the thigh just below the inguinal ligament in the femoral canal, should be felt for by placing the index finger of the right hand on the child's right femoral pulse and the middle finger flat against the skin toward the midline. When a child is old enough, the nurse can insert the little finger into the external inguinal ring at the base of the scrotum and ask the child to cough. If there is a hernia, it will hit the tip of the finger.
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