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GI > Hernias > Flashcards

Hernias Flashcards

1
Q

Strangulated hernias are a surgical emergency because they can lead to what if infected?

A

Bacterial peritonitis

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2
Q

Reducible, Incarcerated, or Strangulated?

Hernia is firm, painful, and you cant push it back into place

A

Incarcerated

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3
Q

MC type of hernia?

A

Indirect Inguinal hernia

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4
Q

Borders of Hesselbach’s Triangle

A

Inguinal Ligament, Epigastric vessels, Rectus Abdominis Muscle

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5
Q

Direct vs Indirect Inguinal Hernias

A

Direct = medial to epigastric vessels & goes striaght thru abdominal wall
Indirect = lateral to epigastric vessels & can pass thry the external inguinal ring and extend into scrotum

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6
Q

MC type of hernia in F

A

Indirect inguinal hernias

Even tho inguinal hernias are MC in M>F, inguinal hernias are MC type of hernia overall in BOTH M & F

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7
Q

Study of choice for inguinal hernias?

A

US

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8
Q

Are femoral hernias MC in M or F?

A

F

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9
Q

Who is most likely to get an obturator hernia?

A

Elderly Woman

avg age 82

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10
Q

How do obturator hernias occur?

A

Defect in pelvic floor or laxity of pelvic muscles

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11
Q

Study of choice for Obturator Hernias?

A

CT

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12
Q

What are ventral hernias?

A

occur in anterior abdominal wall

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13
Q

Trmnt for ventral hernias > 1 cm?

A

mesh repair

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14
Q

Risk factors for ventral hernias?

A

MC: Obesity
Smoking
Older age
Malnutrition
Immunosuppresive therapy
Connective tissue disorders

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15
Q

A weak linea alba may result in what type of hernia?

A

Epigastric Hernia (type of ventral hernia)

I think umbilical hernia is also likely

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16
Q

MC site of Richter Hernia?

A

femoral canal (36-99%)

17
Q

A ____ hernia occurs when the defect is large enough for the bowel to enter but small enough to prevent herniation of an entire loop of bowel (Strangulation w/o obstruction)

A

Richter

18
Q

study of choice for richter hernia?

A

CT

19
Q

trmnt for richter hernia where >50% of the bowel is involved?

A

Sx Resection

GI (19 decks)

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