Tutorial 10 - Hernias

Question 1

Hernia

• RF
• Hist
• Exam

Answer 1

RF - body shape, old age, occupation, prev surgery, smoking
Hist -location, duration, pain, reducible, bowel obstructive symptoms, previous abdo surgery

Exam - abdo, groin, scrotum
-Cough test (lying down, sitting up)
-Scars
(always compare side to side)

Question 2

Anatomy - layers of abdominal wall

Answer 2

Arcuate line - Low in abdomen
-sheath around rectus abdominus above arcuate line goes anterior and posterior

Skin
Fascia - campers (fatty), scarpers (membranous) 
external oblique
internal oblique
transversus abdominus
transversalis fascia 
extraperotonial fascia
parietal peritonium