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19 Cards in this Set
- Front
- Back
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Which is later, deep or superficial inguinal ring? |
Deep inguinal ring is lateral to the superficial inguinal ring.
http://www.youtube.com/watch?v=9j-Mg86KXkk |
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What forms the anterior lateral wall of the inguinal canal? |
The aponeuroses of the transverse abdominus and inferior oblique abdominal muscles. |
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What forms the anterior lateral wall of the inguinal canal? |
The aponeuroses of the superior oblique muscle of the abdomen. |
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What forms the posterior medial wall of the inguinal canal? |
The aponeuroses of the transverse abdominus and inferior oblique abdominal muscles - which fuse as the conjoint ligament. |
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Explain the positional differences between direct inguinal hernia, indirect inguinal hernia, and femoral hernia. |
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In indirect hernia
the protrusion passes through the ____ inguinal ring and is located ____ to the inferior epigastric artery |
In indirect hernia
the protrusion passes through the DEEP inguinal ring and is located LATERAL to the inferior epigastric artery |
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In direct hernia
the protrusion passes through the ____ inguinal ring and is located ____ to the inferior epigastric artery |
In direct hernia
the protrusion passes through the SUPERFICIAL inguinal ring and is located MEDIAL to the inferior epigastric artery |
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Which inguinal hernia is more likely to strangulate? |
The indirect inguinal hernia is more likely to strangulate. |
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Which inguinal hernia can extend into the scrotum? |
Indirect inguinal hernia can extend into the scrotum. |
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What structures form which borders of Hesselbach's triangle? |
Inferior - inguinal ligament
Lateral - inf epigastric artery
Medial - rectus abdominus |
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_____ inguinal hernias are easier to reduce. |
Direct hernias are easier to reduce. |
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A hernia can either be reducible or _____ |
Incarcerated |
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Difference between incarcerated and strangulated hernia? |
Strangulated is when the incarcerated hernia becomes ischemic. |
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_____ inguinal hernia is the most common groin hernia in both sexes. |
Indirect inguinal hernia is the most common groin hernia in both sexes |
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Risk factors for inguinal hernia (10). |
- previous inguinal hernia - chronic coughing - chronic constipation - hx of AAA - fam hx of hernias - older age - males - caucasian race - smoking - abdo wall injury |
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Presentation of inguinal hernia |
- can be asymptomatic - heaviness in scrotum - bulge in groin (portrudes on cough) - severe pain if ischemic |
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Associated symptoms in inguinal hernia? |
- Bowel obstruction - Nausea - Vomiting - Fever (if strangulated and infected) |
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Management for inguinal hernia |
- Analgesic if necessary - If not major and reversible - watch and wait - If strangulated - urgent surgery - If incarcerated - elective surgery |
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Recovery for hernia repair |
4 weeks |
