instructed to bear down when the examiner's finger is at the inguinal canal.
Explanation:
A hernia is a bulging of an organ or tissue through an abnormal opening. According to my research on the different studies conducted by medical professionals, I can say that based on the information provided within the question the man may be instructed to bear down when the examiner's finger is at the inguinal canal.
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If each have 12 including their selves that would be 13. 13 times 2 is 26 -2 is 24 if your including the parter then it would be 25 not including your self