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Inguinal hernia

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Gastrointestinal system

Pathology

Peritoneum and peritoneal cavity
Upper gastrointestinal tract disorders
Lower gastrointestinal tract disorders
Liver, gallbladder and pancreas disorders
Gastrointestinal system pathology review

Assessments
Inguinal hernia

Questions

1 / 6 complete
High Yield Notes
20 pages
Questions

USMLE® Step 1 style questions USMLE

6 questions

USMLE® Step 2 style questions USMLE

6 questions
Preview

A 64-year-old man comes to the office for the evaluation of a mass on the right side of his groin. The patient first noted the mass after helping his daughter move to a new home. He reports sharp discomfort in the right groin worsens with walking and heavy lifting. Resting supine decreases the severity of the pain. Past medical history is significant for type 2 diabetes mellitus. Current medications include atorvastatin and metformin. BMI is 37 kg/m2. Vitals are within normal limits. Physical examination shows a bulge in the right groin above the inguinal ligament which increases in size when the patient coughs. There is no overlying erythema or warmth. The patient is referred to a surgeon and scheduled for a laparoscopic repair.



Which of the following landmarks will help the surgeon to differentiate a direct versus an indirect inguinal hernia?

External References
Summary

An inguinal hernia refers to the protrusion of an intra abdominal organ (usually a bowel loop) through a weak spot in the groin part of the abdominal wall. Common risk factors include a positive family history of hernias, advanced age, smoking, prior abdominal wall injury, and chronic constipation and cough.