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diagnosis - CT Scan, sonogram, or other

 
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RynoCeros



Joined: 19 Apr 2012
Posts: 20
Location: Fairfax, VA

PostPosted: Wed Jun 27, 2012 6:11 am    Post subject: diagnosis - CT Scan, sonogram, or other Reply with quote

For those who have been diagnosed with a hernia, was it done via a CT scan, sonogram, or some other method ? No hernia was detected visually or from a sonogram, but one doc recently recommended a CT scan (post in Progress Reports). Wondering how common it is to have such a scan to detect a hernia. Thanks for any info.
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mpenque



Joined: 23 Jan 2011
Posts: 8

PostPosted: Thu Jul 05, 2012 1:32 am    Post subject: Re: diagnosis - CT Scan, sonogram, or other Reply with quote

[quote="RynoCeros"]For those who have been diagnosed with a hernia, was it done via a CT scan, sonogram, or some other method ? No hernia was detected visually or from a sonogram, but one doc recently recommended a CT scan (post in Progress Reports). Wondering how common it is to have such a scan to detect a hernia. Thanks for any info.[/quote]


Here in the US doctors usually diagnose hernias with a manual test. I've never heard of a doctor doing any kind of scan to detect a hernia.
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RynoCeros



Joined: 19 Apr 2012
Posts: 20
Location: Fairfax, VA

PostPosted: Thu Jul 05, 2012 2:20 am    Post subject: tests Reply with quote

yes, i understand that the manual test is the usual method, but in my case it's never present in a doc's office, despite recurrences outside the doc office; so I ask for some other test.
I'd love to say it's not a big deal since a doc cant feel it, but I still feel it occasionally, so something's going on there.
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lapaz66



Joined: 07 Jan 2012
Posts: 37

PostPosted: Thu Jul 05, 2012 11:15 am    Post subject: Reply with quote

copied from the European hernia society guidelines:

http://www.springerlink.com/content/n574504125284l80/fulltext.html

In case of an evident hernia, clinical examination suffices.
Differentiation between direct and indirect hernia is not useful. Only cases of obscure pain and/or doubtful swelling in the groin require further diagnostic investigation.
In everyday practice, the sensitivity and specificity of ultrasonography for diagnosing inguinal hernia is low.
A computed tomography (CT) scan has a limited place in the diagnosis of an inguinal hernia.
MRI has a sensitivity and specificity of more than 94% and is also useful to reveal other musculo-tendineal pathologies.
Herniography has high sensitivity and specificity in unclear diagnosis but has a low incidence of complications. It does not reveal lipomas of the cord.
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