Inguinal hernia

6,179views

High Yield Notes

20 pages

Preguntas

Preguntas del estilo USMLE Step 1

de completadas

Preguntas del estilo USMLE Step 2

de completadas

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?

Anclajes de memoria y contenidos de colaboraciones

External References

First Aid

2024

2023

2022

2021

Inguinal hernia p. 377, 641

Enlaces externos

Resumen

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.

Elsevier

Copyright © 2024 Elsevier, its licensors, and contributors. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Cookies are used by this site.

USMLE® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). COMLEX-USA® is a registered trademark of The National Board of Osteopathic Medical Examiners, Inc. NCLEX-RN® is a registered trademark of the National Council of State Boards of Nursing, Inc. Test names and other trademarks are the property of the respective trademark holders. None of the trademark holders are endorsed by nor affiliated with Osmosis or this website.

RELX