Hernia

Question 1

Most common male hernia 20-50 y/o

Answer 1

Epigastric hernia (umbilicus and chest)

Question 2

most common groin hernia

Answer 2

Left inguinal hernia

Question 3

colicky abdominal pain, n/v, have abdominal distention, tympany hyperperistalsis, fever

Answer 3

Strangulated hernia

Question 3

-Bulging or swelling localized in the groin or scrotum
-Dull ache lower abdomen or groin
- Swelling of the labia majora in females
-Bowel obstruction may be present if incarcerated

Answer 3

Inguinal and Femoral Hernia

Question 4

Hernia management
Femoral

Answer 4

prompt elective surgery due to high incidence of strangulation

Question 4

Assess hernia
BD + VM

Answer 4

1. Have the patient lie supine lift their head from exam table and
   bear down to tense the abdomen
2. Have the patient perform Valsalva’s maneuver while standing -Note a bulge during the maneuver

Question 5

Hernia management
Truss

Where should you monitor in the testes

Answer 5

Belt for reducible hernia

risk of atrophy of the spermatic cord or fusion to hernial sac

Question 6

Hernia sx

Answer 6

Herniorrhaphy (repair of hernia)
 Open or closed surgical procedure  May require mesh