Approach to abdominal wall and groin masses Quiz: Ace Your Exams
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A 62-year-old man presents to the primary care clinic for evaluation of a groin mass that he noticed in the shower. The patient has no associated pain, weight loss, fever or anorexia. Past medical history is significant for hypertension for which he takes lisinopril. Temperature is 37.0 °C (98.6 °F), blood pressure is 135/78 mmHg, respiratory rate is 14/min, pulse is 66/min, and oxygen saturation is 100% on room air. On physical examination, there is a palpable nontender bulge in the left lower groin that increases in size with Valsalva maneuvers. The mass is reducible with direct palpation. Which of the following is the most appropriate next step in management?
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