Lower Abdominal Pain Flashcards
1
Q
What is the difference between an indirect and direct inguinal hernia?
A
Indirect passes through the deep inguinal ring
Direct protrude through the abdominal wall directly - At Hesselbach’s triangle
2
Q
What is the difference between incarcerated and strangulated?
A
Incarcerated - Non reducible
Strangulated - Incarcerated + Ischaemic
3
Q
What should always be considered in a female?
A
Ectopic pregnancy
4
Q
How does the presence or absence of anorexia guide your diagnosis?
A
Generally, pathologies involving the peritoneum cause anorexia
5
Q
Why might you get a metabolic acidosis in a ruptured AAA?
A
Reduced perfusion causes ischaemia > lactic acidosis
