After moving heavy equipment at a construction site, a 42-year-old man goes to his family physician with a bulge in his left groin that does not descend into the scrotum.The patient reports the bulge becomes more prominent when he is standing up, defecating, and coughing. On examination, the doctor places his finger in the location of the bulge and notes that his finger feels like it can pass into the abdominal cavity. Given his presentation and history, what is the most likely diagnosis?
(A) Direct inguinal hernia
(B) Indirect inguinal hernia
(C) Femoral hernia
(D) Lymphadenitis of superficial inguinal nodes
(E) Hydrocele testis
Ans: (A) Direct inguinal hernia
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