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Hernias

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benryan95's version from 2017-12-29 11:36

Section 1

Question Answer
What is the definition of a hernia?The protrusion of a viscus or part of a viscus through a defect of the walls of its containing cavity into an abnormal position
What is meant by irreducible?Can not be pushed back into place
What is meant by incarcerated?Contents of the hernial sac are stuck to one another by adhesions
What is meant by obstructed?Contents of bowel can no longer move through the hernia
What is meant by strangulated?A hernia where ischaemia has occured - has features of obstruction (vomiting and colicky pain) along with a painful erythematous hernia
What is meant by reducible?Can be returned to the abdomen either by lying down or by manual pressure - also exhibit a cough impulse
What is meant by a richter hernia?Strangulation of one sidewall of the bowel - will have features of strangulation (pain and erythema) without characteristics of obstruction
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Section 2

Question Answer
What are features of a direct inguinal hernia?Hernia superior and medial to the pubic tubercle and does not go into the scrotum
What are features of an indirect inguinal hernia?Hernia superior and medial to the pubic tubercle and can go into the scrotum
What is a femoral hernia?Hernia inferior and lateral to the pubic tubercle - more common in women and likely to strangulate
What is an epigastric hernia?Hernia passing through the linea alba above the umbilicus - associated with heavy lifting
What is a paraumbillical hernia?Just above or below the umbilicus. Risk factors are obesity and ascites
What is exomphalos? (omphalocele)Abdominal wall defect in children where abdominal contents present outside abdomen with membrane surrounding
What is gastroschisis?Abdominal wall defect in children where abdominal contents not surrounded by much membrane (perhaps a thin peel)
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