Lumps in groin Flashcards

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1
Q

Lump in groin plus absent testes?

A

undescended testacle on one side

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2
Q

What is saphena varix?

A

dilatation of saphenous vein at junction with femoral vein

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3
Q

Signs of saphena varix?

A

disappears when lying down

patient tends to have varicose veins

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4
Q

What is a hydrocele?

A

collection of fluid in tunica vaginalis (space around testes)

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5
Q

Will a hydrocele transluminate?

A

yes

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6
Q

Way to differentiate between hernia and hydrocele?

A

pinch fingers above it - if they touch each other it is a hydrocele, if not it is a hernia

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7
Q

Who tend to get teratomas?

A

younger patients

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8
Q

What is raised in teratoma?

A

HCG

alpha deta protein

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9
Q

What type of testicular tumour responds well to chemo?

A

teratoma

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10
Q

What type of testicualr tumour responds well to radiotherapy?

A

seminoma

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11
Q

Which type of testicular tumour is v fast growing?

A

teratoma

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12
Q

What does a direct inguinal hernia protrude through?

A

Protrudes through Hesselback triangle

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13
Q

What does an indirect inguinal hernia protrude through?

A

inguinal ring

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14
Q

Which hernia, indirect or direct, passes lateral to the Inferior Epigastric Artery?

A

INDIRECT

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15
Q

Which hernia, indirect or direct, passes medial to the Inferior Epigastric Artery?

A

DIRECT

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16
Q

Describe the anatomy of a femoral hernia

A

protrudes below the inguinal ligament, lateral to the pubic tubercle

17
Q

Which type of hernia has aHigh risk of strangulation?

A

femoral

18
Q

Which hernia type is more common in females?

A

femoral

19
Q

Which hernias impulse on cough?

A

all

20
Q

complications of hernias?

A

irreducibility (Emergency)

strangulation

21
Q

Treatment of hernias?

A

Herniotomy and MESH

22
Q

Treatment of hernias in infants?

A

Herniotomy no MESH