CHIEF COMPLAINT: Left inguinal hernia.
HISTORY AND PHYSICAL EXAMINATION
HISTORY OF PRESENT ILLNESS: This generally healthy 45-year-old male was admitted for repair of left inguinal hernia. He m
at work as he does heavy lifting on a routine basis.
PAST MEDICAL HISTORY: Generally excellent health.
PAST SURGICAL HISTORY: No prior surgeries.
MEDICATIONS: Takes no medications on a regular basis.
REVIEW OF SYSTEMS:
GENERAL: Patient appears to be a well-developed, well-nourished, tall, thin male in no apparent acute distress.
VITAL SIGNS: Blood pressure 120/70, pulse 82, respirations 16. Weight 225 pounds height 6 feet, 5 inches.
HEENT: Pupils are equal, round and reactive to light. Sclerae are clear. Throat is clear.
NECK: Supple. No masses or cervical adenopathy. The trachea is midline. The thyroid is nontender, nonpalpable. The
symmetrical. There is good excursion on respiration.
LUNGS: Clear to percussion and auscultation.
HEART: Heart has irregular rhythm.
ABDOMEN: Soft. When he stands, a large bulge on the left inguinal canal is readily apparent.
GENITALIA: Normal.
EXTREMITIES: Normal.
IMPRESSION: Left inguinal hernia.
PLAN: Laparoscopic hernia repair.