Strangulated Hernia Flashcards
1
Q
Signs/symptoms
A
Irreducible, painful lump near hernial orifice Nausea Vomiting Absolute constipation Abdo pain Maybe: Abdo distension Peritonism
2
Q
Investigation
A
Bloods: FBC U&E Glucose Amylase CRP G&S
Imaging: AXR (exclude bowel obstruction) Erect CXR (exclude perforation)
3
Q
Management
A
Get senior NMB Analgesia (Morphine 5mg IV PRN) Cyclizine (50mg/8h IV) IV access Fluids