Hernia Flashcards

1
Q

what is the most common adult hernia

A

inguinal

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2
Q

what are the two types of hernia found in the groin

A

inguinal (95%)

femoral

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3
Q

what are the2 types of inguinal hernia

A

direct

indirect (65%)

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4
Q

where do inguinal hernias originate

A

above and medial to the pubic tubercle

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5
Q

ho w can you differentiate between direct and indirect inguinal hernias

A

cover deep inguinal ring and ask the patient to cough. If it pops back out its direct

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6
Q

where do femoral hernias originate

A

below and lateral to the pubic tubercle

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7
Q

who is most at risk of inguinal hernias

A

men

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8
Q

who is most at risk of femoral hernias

A

older male with many kids

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9
Q

what is the inguinal canal

A

oblique inter-muscle slit 4cm long, allows passage of spermatic cord

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10
Q

what are the boundaries of the inguinal canal

A

floor = inguinal ligament
anterior wall = internal oblique
posterior wall = transversalis fascia
roof = internal oblique

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11
Q

what is located in the femoral canal

A

(form L to R)
femoral nerve
femoral artery
femoral vein

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12
Q

where are para-umbilica hernias located

A

around the umbilicus

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13
Q

who is most at risk of umbilica hernias

A

children

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14
Q

where are epigastric hernias located

A

the line alba between the xiphisternum and umbilicus

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15
Q

where are incisional hernia located

A

at the site of weakness (where the operation was carried out)

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16
Q

what type of hernia is associated with small bowel obstruction in elderly females

A

obturator hernia

17
Q

what type of hernia is associated with surgery

A

incisional

18
Q

what is the treatment for inguinal hernia in a young infant

A

herniotomy - ligation of sac

19
Q

what is the treatment of umbilical hernias in children

A

nothing, 94% resolve by 4yrs old

20
Q

what 3 arteries are found in the spermatic cord

A

testicular
artery to vas
artery to muscle

21
Q

what 3 nerves are found in the spermatic cord

A

ilioinguinal
genitial branch
gentio femoral

22
Q

what 3 things (not nerves or arteries) are located in the spermatic cord

A

pampinform venous plexus
vas defrens
lymphatics

23
Q

what is a hernia

A

a profusion of a viscus or part of a visa through the wall which is designed to contain it