Term
| 3 general types of hernias: |
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Definition
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Term
| 4 types of abd wall hernias: |
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Definition
1. incisional
2. umbilical
3. epigastric
4. semilunar (very rare) |
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Term
| 3 types of groin hernias: |
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Definition
1. inguinal direct
2. inguinal indirect
3. femoral |
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Term
| hiatal hernia sx closely correlate to: |
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Definition
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Term
| most common hiatal hernia type: |
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Definition
| type I (95%); sliding hiatal hernia: gastroesophageal junction sollowed by body of stomach through the esophageal hiatus |
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Term
| herniation of the body of stomach into chest w maintenance of GE junction below the diaphragm: |
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Definition
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Term
| combination of Type I&II hiatal hernias: |
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Definition
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Term
| giant hiatal hernia; stomach along with any other organs: Which Type? |
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Definition
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Term
| 8 risk factors for hiatal hernias: |
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Definition
All increase intra-abd pressure:
1. obesity
2. aging
3. constipation
4. chronic cough
5. pulm dz
6. strenuous exercise
7. ascites
8. multiparity/prego |
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Term
| 3 most common clinical presentations of hiatal hernia: |
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Definition
1. presence of risk factors
2. heartburn
3. regurge |
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Term
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Definition
1. lifestyle changes to prevent GERD
2. PPI
3. Surgery; failed above and type II/IV |
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Term
| incisions w highest incidence of incisional hernias: |
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Definition
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Term
| define inarceration related to hernias: |
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Definition
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Term
| pain + incarceration w abd hernia = |
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Definition
| strangulated omentum or bowel need surgery |
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Term
| level of risk for bowel involvement in epigastric hernia: |
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Definition
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Term
| which is more common: inguinal or femoral hernias? |
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Definition
| inguinal (96%) compared to femoral (4%) |
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Term
| define indirect inguinal hernia: |
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Definition
| lateral to inferior epigastric artery |
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Term
| define direct inguinal hernia: |
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Definition
| occur through Hesselbach's triangle; medial to inferior epigastric artery |
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Term
| most common groin hernias in men and women: |
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Definition
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Term
| hernia: often descends into scrotal sac or labia majora: |
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Definition
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Term
| hernia: 40% present w incarceration/strangulation emergencies: |
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Definition
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Term
| account for <10% of groin hernias: |
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Definition
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Term
| sx of strangulated bowel:3 |
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Definition
1. incarceration
2. pain
3. N/V |
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Term
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Definition
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Term
| how long before strangulated bowel becomes nonviable? |
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Definition
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