Case 3

A medical report evaluates various conditions such as musculoskeletal issues, herniation, urinary diseases, nerve compression, cancer, and genital abnormalities. It indicates that x-rays and ultrasounds show no signs of bone, muscle, or herniation issues.

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Case 3

Nerves

Could be: dorsal branch pudendal nerve, genitofemoral nerve, ilioinguinal nerve, and iliohypogastric nerve

palpation of the piriformis does not produce pain in the penis or scrotum

excludes pudendal nerve

normal cremasteric reflex

no genitofemoral nerve

iliohypogastric does not innervate the penis and scrotum

excludes iliohypogastric

based on symptoms compression of ilioinguinal nerve is the source of pain

L convexity and R rotation shown in the x-ray could increase possible compression of nerves passing between the psoas major muscle and L2-4 transverse processes when the trunk rotates to the right side with an ipsilateral stiff psoas major muscle.

Taut, tender structure was found above the middle inguinal canal,

Case 3

A medical report evaluates various conditions such as musculoskeletal issues, herniation, urinary diseases, nerve compression, cancer, and genital abnormalities. It indicates that x-rays and ultrasounds show no signs of bone, muscle, or herniation issues.