### Patient: Doctor, I have been having some problems with my abdomen lately. I feel a bulge in the lower part of my abdomen that gets bigger when I lift something heavy. It also causes me discomfort and some pain at times. 
### Doctor: Based on your symptoms, it sounds like you may have an abdominal hernia. To confirm this, I would recommend a complete physical skin exam performed (ML) and an X-ray computed tomography (Scan ct). Depending on the results, we may need to perform wound care management or other hernia repair. We may also need to conduct a pelvis exam and other diagnostic procedures (interview, evaluation, consultation) to determine the severity of the hernia. Additionally, I would recommend conducting a lipid panel to check your cholesterol levels.