Term
| Protrusion of intra-abdominal contents through an enlarged esophageal hiatus of the diaphragm. |
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Definition
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Term
| What are the sx of hiatal hernia? |
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Definition
| Mostly asymptomatic, sx cases closely related to GERD dx |
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Term
| What is the most common type of hiatal hernia? |
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Definition
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Term
| What is type I hiatal hernia? |
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Definition
| Sliding - protrusion of GE junction followed by body of stomach thru the esophageal hiatus above the diaphragm |
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Term
| What type of hital hernia occurs when there is a herniation of the fundus or body of the stomach into the chest, w/ the GE below the diaphragm. |
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Definition
| Type II: Pure paraesophageal hernia |
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Term
| What are type III and type IV hiatal hernia? |
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Definition
| III - mixed, combo of types I & II. IV - giant hiatal hernia, any type along w/ herniation of one or more organs. |
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Term
| Which is worse, type I or type II hital hernia? |
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Definition
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Term
| Name 4 risk factors for dev. hiatal hernia. |
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Definition
| 1)Obesity 2)Aging 3)Low fiber diet 4)Chronic elev. intra-abd pressure |
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Term
| What conditions can cause chronic elevated intra-abdmominal pressure? |
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Definition
| Chronic cough, pulmonary dz, strenuous exercise, ascites, and multiparity |
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Term
| What are the most common clinical presentations of hiatal hernia? |
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Definition
| heartburn and regurgitation |
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Term
| What is the standard diagnostic test for hiatal hernia? |
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Definition
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Term
| What is the standard med. used to tx hiatal hernia? |
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Definition
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Term
| When is surgery considered for hiatal hernia? |
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Definition
| Pt who failed med. tx and all pts w/ type II to IV |
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Term
| What is the surgery of choice for hiatal hernia? |
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Definition
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Term
| What causes incisional hernia? |
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Definition
| Any condition which inhibits wound healing |
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Term
| What type of incisions have the highest incidence of dev. incisional hernia? |
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Definition
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Term
| Are adult umbilical hernias more common in men or women? |
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Definition
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Term
| What type of umbilical hernia carries significant morbidity? |
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Definition
| Richter's hernia (strangulated bowel) |
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Term
| Defect in the abdominal midline b/t the umbilicus and xiphoid process. |
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Definition
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Term
| Are femoral hernias most common in men or women? Inguinal? Epigastric? |
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Definition
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Term
| The type of hernia that occurs through Hesselbach's triangle and is medial to the inferior epigastric artery. |
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Definition
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Term
| Are direct or indirect inguinal hernias more likely to descend into the scrotal sac or labia majora? |
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Definition
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Term
| Where is the origin of an indirect inguinal hernia? |
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Definition
| Lateral to the inferior epigastric artery. |
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Term
| What is a common clinical presentation of a femoral hernia? |
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Definition
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Term
| What is the difference b/t incarceration and strangulation of a hernia? |
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Definition
| Incarceration - trapping of the hernia so it can't be reduced. Strangulation - blood flow to the hernia sac is reduced. |
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Term
| What are the most common groin hernias in men and women? |
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Definition
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