Strangulated Hernia Flashcards

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1
Q

Signs/symptoms

A
Irreducible, painful lump near hernial orifice
Nausea
Vomiting
Absolute constipation
Abdo pain
Maybe:
Abdo distension
Peritonism
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2
Q

Investigation

A
Bloods:
FBC
U&E
Glucose
Amylase
CRP
G&S
Imaging:
AXR (exclude bowel obstruction)
Erect CXR (exclude perforation)
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3
Q

Management

A
Get senior 
NMB
Analgesia (Morphine 5mg IV PRN)
Cyclizine (50mg/8h IV)
IV access
Fluids
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