Hernias

Question 1

Inguinal ligament attachment

Answer 1

Anterior superior iliac spine(‘point’ of pelvis)->pubic tubercle

Question 2

mid point of inguinal ligament

Answer 2

deep ring

Question 3

direct inguinal hernia

Answer 3

peritoneum part forced through posterior wall of inguinal canal and DIRECTLY out of SUPERFICIAL ring

Question 4

indirect inguinal hernia

Answer 4

peritoneum part is forced through DEEP ring, into inguinal canal, then out of superficial ring

Question 5

how to differentiate direct/indirect inguinal hernia

Answer 5

reduce the hernia, occlude deep ring with finger-tip, ask patient to cough

If direct lump will reappear