Right chronic inguinal hernia

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CHIEF COMPLAINT: Right chronic inguinal hernia. HISTORY OF PRESENT ILLNESS: This 39-year-old athletic man has been aware of a bulge and pain in his right groin for over a year. He is very active, both aerobically and anaerobically. He has a weight routine that he has modified because of this bulge in his right groin. Usually, he can complete his entire workout. He can swim and work without problems. Several weeks ago in the shower, he noticed there was a bulge in the groin and he was able to push on it and make it go away. He has never had a groin operation on either side. The pain is minimal, but it is uncomfortable and it limits his ability to participate in his physical activity routine. In addition, he likes to do a lot of exercise in the backcountry, and his personal provider, Dr. X told him it would be dangerous to have this become incarcerated in the backcountry. PAST MEDICAL HISTORY: Serious illnesses: Reactive airway disease for which he takes Advair. He is not on steroids and has no other pulmonary complaints. Operations: None. MEDICATIONS: Advair. ALLERGIES: None. REVIEW OF SYSTEMS: He has no weight gain or weight.

Reference no: EM133926113

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