Hernia Flashcards

1
Q

What is a hernia?

A

Projection of viscera through a normal or abnormal opening in the abdominal wall

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2
Q

What is the most common inguinal hernia?

A

Indirect Inguinal hernias (2/3 of hernias)

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3
Q

Direct hernias major facts

A

Usually in older men, protrudes through Hesselbachs triangle, goes directly through superficial ring next to spermatic cord, medial to epigastric vessels, weakness in abdominal wall

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4
Q

Indirect hernia major facts

A

MORE COMMON than direct! Go through BOTH deep and superficial, comes out WITHIN spermatic cord and not beside it, happens more often in younger fetus or younger men

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5
Q

What is unique to indirect hernia?

A

They go through both the deep and superficial ring of inguinal canal and end up within the spermatic cord

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6
Q

How do you test for hernias in male physicals?

A

A fingertip is injected into superficial ring to feel for bulge, is there is no hernia this doesn’t hurt but it WILL hurt if there is a hernia, this test does NOT indicate if the hernia is direct or indirect

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7
Q

What type of hernia forms in Hesselbach’s triangle?

A

Direct inguinal hernias

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8
Q

What forms the Hesselbach’s triangle?

A

Inferior epigastric vessels, lateral border of rectus abdominus muscles, and iliopubic tract ligament

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