Patient is a 52-year-old male combo stock driver who sustained injury while he was building a pallet when he felt a pop on his right groin. Per OMNI entry, he was initially diagnosed with inguinal hernia and neuralgia secondary to surgical complication. Patient is status post open right inguinal hernia repair with mesh on 01/16/2015, right groin exploration with triple neurectomy on 05/31/16 and right groin exploration, adhesiolysis and mesh removal on 09/13/16. Per the IME report…
testicles descend through the inguinal canal and into their final resting place, the scrotum. During their descent, they are accompanied by the processus vaginalis, which later mostly becomes obliterated in a healthy baby boy and forms a fibrous cord without a lumen. However, the most distal tip of the processus vaginalis remains and forms the serous tunica vaginalis covering the testicles. Physiologically there should not be any communication between the scrotum and inguinal…
Many types of hernia are encountered at millions of people in the world, but the most common form, that affects the majority of the hernia patients is hiatal hernia. Other types are: inguinal hernia, umbilical hernia, and sports hernia. These types are less common then hiatal hernia. Any type of hernia occurs when a part of an organ pokes through a tear that appears in the muscles near it. In the hiatal hernia's case, the upper side of the stomach gets in the chest through an opening in the…
CHIEF COMPLAINT Groin pain. SUBJECTIVE Mr. Yabsley is here for followup after he was seen in the clinic yesterday for groin pain. An ultrasound was ordered and is available for review today. Mr. Yabsley reports 9/10 pain located just behind the pubic bone which radiates up into his hip and lower left back. He describes the sensation of pressure in the area similar to what he felt when he had appendicitis. This is not the first time he has experienced this pain. He was seen before…
“relocate” during development, including the role of the inguinal canal and the resulting structure and function of the spermatic cord. Describe a common medical problem associated with the inguinal canal. Describe the structure and function of the scrotum, and state the advantages of having the testes descend out of the body cavity. The testes initially develop in the abdominal cavity while contained in the embryo. They then descend through the inguinal canal into the scrotum. This forms the…
This is a story of JB, 60 years old male with an inguinal hernia surgery. According to JB, he stayed in the hospital probably for a week. Before the day of surgery, he and family had a meeting with a case manager to arrange his home care for post surgery. He likes to stay in his home rather going to skill nursing facility. The meeting was arranged between him, wife, son and case manager to decide post-op surgery care. The case manager offered some optional for home care agency that meet with…
induction in children. The use of anaesthetic drugs may prolong the QTc interval of the ECG and this might also result in arrhythmias which may be fatal to the patient. In the study, the author recruited twenty children who are going to undergo inguinal hernia repair sugery, who do not have previous medical condition with normal QTc interval and no cardiac arrhythmias. Eleven of the patients were administered…
difficulty urinating. He also reported difficulty sleeping, stress, anxiety and depression. He is currently taking Tylenol 500 mg twice daily. Diagnoses are shoulder impingement, wrist sprain/strain, carpal tunnel syndrome, lumbar sprain/strain and inguinal hernia. He was given prescription for Ketoprofen, omeprazole and orphenadrine.…
1. Polycystic kidney disease: Polycystic kidney diseases (PKD) are a group of developmental renal disorders that are characterized by progressive fluid accumulation in dilated renal tubules to form cysts, generating kidney enlargement, numerous large cysts compromise the function of the remaining normal tubules and eventually lead to renal failure as well as various external manifestations. It is associated with several genetic and non-genetic disorders, but the most common causes of…
cleansed with lotion to kill the scabies and his hair was shaved off. His pupils were sluggish to light. He had obvious deformities of his left humerus and left leg. His fractures sites were splinted in the emergency department. He had a right inguinal hernia. There was crepitus to his left tibia and fibula. Both legs were swollen and edematous. He was completely nonverbal. He would open his eyes to painful stimuli. He was spontaneously moving his upper extremities. Diagnostic testing and…