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12 Cards in this Set
- Front
- Back
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Name two types of Hiatal Hernia
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Type 1: Sliding (most common)
Type 2: Rolling Paraesophageal |
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Signs and symptoms of sliding hiatal hernia
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Pyrosis (heart burn), regurgitation, dysphagia, reflux
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Signs and symptoms of rolling hiatal hernia
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c/o fullness, pressure
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Main sign and symptom of Hernias
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lump or swelling while standing or straining. Disappears while supine or can be manipulated back into the cavity.
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Post op hernia teaching
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No coughing! Deep breathing and incentive spirometry encouraged
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Hiatal Hernias and nutrition
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small frequent meals
low fat, bland foods no acid producing foods (5 S: strings, spices, seeds, smokes, stimulants). No theobromine (coffee, tea, cola, chocolate) No food 2-3 hrs before bedtime |
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Medications for Hiatal Hernias
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Antacids, H2 receptors, proton pump inhibitors
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Risk factors for adults with Hiatal Hernia
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Muscle weakness
Persistent pressure on muscles Over 50 yrs of age Obesity Smoking |
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Common complaint of patients that were inflated with Co2 during surgery
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shoulder pain (normally gone within a week)
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Treatment for hernias
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Truss or surgical means
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What is a Herniorrhaphy?
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replaces the contents back into the cavity and closes the opening
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What is Hernioplasty?
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Reinforcing of tissue with different types of mesh
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