which he did not consider to be ‘tense’. He saw no sign of d

which he did not consider to be ‘tense’. He saw no sign of distension and he checked the other hernia orifices. In the absence of his stethoscope he did not listen to the bowel nor did he percuss the abdomen. These were examinations which would add to the overall assessment to exclude an obstruction before consideration could be taken to safely reduce the hernia.

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