Hernias

Question 1

define hernia

Answer 1

a protrusion of viscus or part of a viscus through an abnormal opening in the walls of its containing cavity

Question 2

types of hernias

Answer 2

common:
epigastric
umbilical
incisional
inguinal
femoral

less common:
spigelian
obturator
gluteal lumbar

Question 3

reducible hernia

Answer 3

Question 4

irreducible hernia

Answer 4

Question 5

strangulated hernia

Answer 5

blood supply of hernia contents are compromised
hernia contents will be dead

Question 6

obstructed hernia

Answer 6

lumen of the herniated intestine is obstructed (as opposed to strangulated which relates to blood supply)

Question 7

risk factors for hernia

Answer 7

anything that raises intra abdominal pressure
- chronic cough
- prostatic obstruction
- constipation
- pregnancy
- ascites
- weak abdominal muscles

or congenital issues

Question 8

DDx for groin mass presentation

Answer 8

L-SHAPE

Lymph node
Saphenovarix
Hernia (inguinal or femoral)
Aneurysm of femoral artery
Psoas abscess/pathology
Ectopic testicle