HIATAL HERNIA Flashcards

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1
Q

Also known as Diaphragmatic Hernia

A

HIATAL HERNIA

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2
Q

A condition in which a part of the stomach protrudes into
the chest through an opening in the diaphragm (Diaphragmatic Hiatus), potentially causing symptoms like acid reflux or chest pain.

A

HIATAL HERNA

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3
Q

Hiatal hernia occurs when the ________ widens or enlarged

A

DIAPHRAGMATIC HIATUS

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4
Q

Etiology of Hiatal Hernia

A

muscle weakness in the esophageal (Diaphragmatic) hiatus

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5
Q

Primary prevention for Hiatal hernia

A

Weight loss
Decrease intra-abdominal pressure

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6
Q

Most common type of hiatal hernia

A

SLIDING HERNIA

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7
Q

What type of Hiatal Hernia is this?

The gastroesophageal junction and a portion of the stomach slide up into the chest through the esophageal hiatus (the opening in the diaphragm)

A

SLIDING HERNIA
TYPE 1

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8
Q

This type of hiatal hernia is often associated with gastroesophageal
reflux disease (GERD

A

SLIDING HERNIA
TYPE 1

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9
Q

What Type of Hiatal Hernia?

Involves the stomach (Fundus) protruding into the chest beside the esophagus and stays there, rather than sliding into it

A

PARAESOPHAGEAL

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10
Q

What type of Hiatal Hernia?

Part of the stomach moves into the chest, but the junction between the stomach and esophagus
stays in place

A

TYPE 2
ROLLING

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11
Q

What type of hiatal hernia

Both the gastroesophageal junction and part of the stomach move into the chest

A

TYPE 3

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12
Q

What type of hiatal hernia?

The entire stomach, or almost all of it, herniates into the chest because of larger defect in the diaphragmatic hiatus.

A

TYPE 4

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13
Q

Complication of sliding hernia

A

ESOPHAGEAL REFLUX

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14
Q

Complications of Paraesophagial hernia

A

STRANGULATION
OBSTRUCTION

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15
Q

Reflux caused by protrusion of LES + Part of stomach may cause

A

SUBSTERNAL PAIN

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16
Q

How many minutes does it take for pyrosis to occur after meals for people with hernia

A

30-60 mins

17
Q

This refers to restricted or completely cut off blood flow

A

STRANGULATION

18
Q

Clinical manifestation of hiatal hernia that is characterized by the stomach twisting on its own axis and one cause of strangulation

A

VOLVULUS

19
Q

X-ray examination with contrast dye (Barium) to visualize the shape and function of the esophagus and stomach

A

BARIUM SWALLOW

20
Q

Insertion of a flexible tube with a camera to directly visualize the esophagus,
stomach, and upper part of the small intestine

A

ENDOSCOPY (EGD)

21
Q

Measures the pressure and coordination of contractions in the esophagus and lower esophageal sphincter

A

ESOPHAGEAL MANOMETRY

22
Q

May be used to visualize the anatomy and assess the size and location of the hernia, especially in the case of paraesophageal hernias

A

CT SCAN

23
Q

Patient with hiatal hernia are advised not to recline for ____hour after eating

A

1 HOUR

24
Q

Patient with hiatal hernia should elevate the head of the bed on

A

4-8 inches

25
Q

Patient with hiatal hernia should Sleep with head elevated at

A

6 INCHES

26
Q

Patient with hiatal hernia should avoid evening snacks ______ hours before going to bed

A

3 HOURS

27
Q

Diet for patient with Hiatal hernia

A

Low protein and fats
Restrict spicy, acidic, and carbonated food

28
Q

Surgical management for patient with hiatal hernia wherein the protruded part is placed back to where it is supposed to be

A

NISSEN FUNDOPLICATION

29
Q

What type of fundoplication is preferred for surgical management of hiatal hernia

A

LAPAROSCOPIC NISSEN FUNDOPLICATION