hernia and collitis Flashcards
two types of microscopic colitis
collagenous
lymphocytic
causes of colitis
cdiff ischaemic infective drug induced infective
what is collagenous colitis
get increased deposition of collagen and lymphocytes watery diarrhoea
what is lymphocytic colitis
increased deposition of lymphocytes in colon
what type of colitis does c/diff cause
pseudomembranous colitis
hernia definition
abnormal protrusion of the contents of a closed cavity through a potential or abnormal opening
types of hernia
umbilical paraumbilical=crescent moon incisional femoral inguinal
who gets femoral hernias
elderly ladies
what is an indirect vs a direct hernia
indirect=lateral to inferior epigastric vessel and through the spermatic cord
direct=medial to inferior epigastric so doesn’t go through
dx of indirect vs direct inguinal hernia
indirect: if put hand over the deep inguinal ring and cough get no bulge for indirect but will for direct
- indirect often not palpable but direct is
who does inguinal and diret affect
inguinal =young males
direct=elderly
risk of indirect hernia
encapsulated and strangulated
what do direct hernias pass through
hesselbach’s triangle of inguinal lig, epigastric and rectus muscle medially
inguinal contents for women
round ligament of uterus
what becomes what in the inguinal canal
- external oblique becomes the external spermatic fascia
- internal oblique becomes the cremasteric muscle and cremasteric fascia
- transversalis abdominis becomes the internal spermatic fascia
