Your 54-year-old male patient complains of a painless lump in his lower left abdomen that comes and goes for the past couple of weeks. When examining the abdomen, you should have the patient:

Question

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Standing and bearing down, or performing the Valsalva maneuver, helps in the examination of hernias, which could be the cause of a painless, intermittent lump in the lower abdomen.

Your 54-Year-Old Male Patient Complains of a Painless Lump in His