Surgery

Question 1

what is a hydrocele

1. accumulation of fluid in the thinly patent tunica vaginalis
2. protrusion of bowel in a widely patent tunica vaginlais

Answer 1

1. accumulation of fluid in the thinly patent tunica vaginalis

Question 2

what is a inguinal hernia

1. accumulation of fluid in the thinly patent tunica vaginalis
2. protrusion of bowel in a widely patent tunica vaginlais

Answer 2

2. protrusion of bowel in a widely patent tunica vaginlais

Question 3

how can you distinguish between a hydrocele and a inguinal hernia

Answer 3

transluminate

hydrocele will pass light

inguinal hernia will not pass light

Question 4

how long will you wait for a hydrocele to self resolve before considering treatment

1. age 1
2. age 2
3. age 3

Answer 4

2. age 2

Question 5

when would you think about surgical intervention with an inguinal hernia

Answer 5

An inguinal hernia that is not reducible

Question 6

what is meant by a incarcerated inguinal hernia

Answer 6

non reducible

Question 7

how might a child with an incarcerated inguinal hernia present? list 5 symptoms

Answer 7

unwell child

not feeding

vomiting

abdo pain

crying/irritability

Hx of groin hernia

lump in groin/scrotum = firm, red, tender

Question 8

what is the management for an incarcerated hernia

Answer 8

operation

Question 9

which ethnic background is an umbilical hernia more common in

Answer 9

asian/african ethnicities

Question 10

till what age do you watch and wait with an umbilical hernia

Answer 10

starting school 3-5 yrs

Question 11

what 2 medical conditions increase the risk of developing umbilical hernia

Answer 11

downs syndrome

congenital hypothyroidism

Question 12

which is the most common hernia in children

Answer 12

umbilical hernia