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WorksheetsT3 ABDOMINAL WALL HERNIA
Total questions: 11
Worksheet time: 10mins
A man is moving into a new house and during the process lifts a large chest of drawers. As he lifts he feels a severe pain in the lower right quadrant of his abdomen. He finds that he can no longer lift without pain and the next day goes to see his physician. Surgery is indicated and during the surgery the surgeon opens the inguinal region and finds a hernial sac with a small knuckle of intestine projecting through the abdominal wall just above the inguinal ligament and lateral to the inferior epigastric vessels. The hernia was diagnosed as:
Congenital inguinal hernia
Direct inguinal hernia
Indirect inguinal hernia
Femoral hernia
During your peer presentation of the inguinal region dissection, you would indicate the position of the deep inguinal ring to be: Above the anterior superior iliac spine
Above the midpoint of the inguinal ligament
Above the pubic tubercle
In the supravesical fossa
Medial to the inferior epigastric artery
A patient presents with a lump at the groin at the top of her inner thigh. On examination the doctor finds that this lump is below and lateral to the pubic tubercle. What type of hernia could be seen is this case?
Femoral hernia
Inguinal hernia
WHAT ARE THE COMMON SYMPTOMS OF HERNIA?
Pain
Bulge in the affected area
Abdominal pain
All of the above
IN HIATAL HERNIA, CAN WE SEE ANY BULGES OUTSIDE OF THE BODY ?
True
False
What are the other criteria that can not be seen in adult or elderly ?
Small bulging may be seen with expansile pulse when patients asked to cough
Swelling appears can be translucent
Patients complaints of having pain when doing heavy work or strenuous exercise
Epigastric pain in large hernias
Main method of diagnosis in hernia is via herniography
False
True
A patient presents with a hernia that is palpable at the superficial inguinal ring. Is this an indirect inguinal hernia?
Yes
No
There is insufficient evidence to tell
What Is The Management Of Umbilical Hernia In Children?
Conservative treatment and parental reassurance for all ages.
Either open surgery or laproscopic surgery for all ages.
Conservative treatment and parental reassurance for kids under 2 years old with symptomless hernia and surgery for kids above 2 years old.
Laparoscopic Surgery For Spigelian Hernia: When an intraperitoneal sac is NOT present & contains only extraperitoneal fat…..
It is closed by either suture or mesh.
A laparoscopic repair can be performed using either the intraperitoneal onlay of mesh (IPOM) or TAPP technique.
What are home remedies for hernia pain?
Ice Packs
Weight loss
Stress reduction techniques
All of the above
