wk 8 8 Hernias Flashcards Preview

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Flashcards in wk 8 8 Hernias Deck (21)
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1
Q

define a hernia

A

protrusion of an organ through a wall which is designed to contain it

2
Q

t/f inguinal hernias more common in females

A

false

males due to natural weakness from testicles

3
Q

femorals more common in females?

A

yes

femoral=female

4
Q

what is the inguinal canal

A

oblique intermuscular slit, allows passage of spermatic cord

5
Q

spermatic cord contains

A

rule of 3
3 arteries - testicular, cremasteric, artery to vas
3 nerves -
3 other things - vas, pampiniform plexus, lymphatic

6
Q

risk factors for hernia

A

fat
age
chronic cough
collagen disorder

7
Q

inguinal hernia can be either direct or indirect, outline each

A

indirect - through deep inguinal ring

direct = through anterior surface (ligaments)

8
Q

indirect hernia would be medial to inferior epigastric vessels

A

false
medial = direct
lateral = indirect

9
Q

which hernia, indirect or direct, would disappear on palpitation

A

indirect

10
Q

t/f all hernias will require surgery

A

false
most likely to frail for surgery
30% postop develop chronic pain

11
Q

complications of inguinal hernias

A
urinary retention
bleeding / haematoma (clot in tissue) 
chronic pain 
numbnes
testicular atrophy 
wound infection
12
Q

which hernia is usually an emergency

A

femoral

13
Q

borders of femoral canal

A

anteior - inguinal ligament
posteior - superior pubic ramus
laterally - femoral vein
medially - lateral border of lacunar ligament

14
Q

borders of inguinal canal

A

anterior - internal oblique/ apponeurosis of external oblique
posteior -transversalis fascia and conjoint tendon
superior - internal oblique and transveruss abdominis
inferior - inguinal and lacunar ligament

15
Q

inguinal hernias originate _____ and ____ to pubic tubercle

femoral hernias originate ________ and _____ to pubic tubercle

A

above and medial

below and lateral

16
Q

epigastric hernias arise due to a defect in ___ ___

A

linea alba

17
Q

2 types of epigastric hernias

A

paraumbilical (just beside umbilicus)

incisional - at site of incision

18
Q

incisional hernias are due to big chunk of the ab wall missing, what are the risks for incisional hernia

A

older
smoker
on steroids
poorly closed wounds

19
Q

most comomon pediatric hernia

A

umbilical hernia - usually resolves by age 4

20
Q

boys born prematurely can develop ____ _____

A

inguinal hernias

silk sign - inguinal area rubbed superiorly - inferiorly, feels like silk

21
Q

obturator hernias are uncommon, however can occur in small bowel obstruction in elderly females, what happens and where

A

bowel squeezes between pubic symphisis

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