Inguinal hernia
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Inguinal hernia
Gastrointestinal system and nutrition
Biliary disorders
Colorectal disorders
Anal fissure
Anal fistula
Hemorrhoid
Rectal prolapse
Diverticulosis and diverticulitis
Crohn disease
Microscopic colitis
Ulcerative colitis
Irritable bowel syndrome
Ischemic colitis
Small bowel ischemia and infarction
Bowel obstruction
Gallstone ileus
Intestinal adhesions
Volvulus
Colorectal polyps
Familial adenomatous polyposis
Gardner syndrome
Juvenile polyposis syndrome
Peutz-Jeghers syndrome
Esophageal disorders
Food allergies and food sensitivities
Gastric disorders
Hepatic disorders
Alcohol-induced liver disease
Alpha 1-antitrypsin deficiency
Autoimmune hepatitis
Benign liver tumors
Budd-Chiari syndrome
Cholestatic liver disease
Cirrhosis
Hemochromatosis
Hepatic encephalopathy
Hepatitis
Hepatitis A and Hepatitis E virus
Hepatitis B and Hepatitis D virus
Hepatitis C virus
Jaundice
Neonatal hepatitis
Non-alcoholic fatty liver disease
Portal hypertension
Primary biliary cirrhosis
Primary sclerosing cholangitis
Reye syndrome
Wilson disease
Infectious diarrhea
Adenovirus
Bacillus cereus (Food poisoning)
Campylobacter jejuni
Clostridium difficile (Pseudomembranous colitis)
Clostridium perfringens
Cryptosporidium
Cytomegalovirus
Entamoeba histolytica (Amebiasis)
Escherichia coli
Giardia lamblia
Norovirus
Rotavirus
Salmonella (non-typhoidal)
Shigella
Staphylococcus aureus
Vibrio cholerae (Cholera)
Yersinia enterocolitica
Ingestion of toxic substances or foreign bodies
Metabolic disorders
Neoplasms
Nutrition and vitamin disorders
Pancreatic disorders
Peritoneum and peritoneal cavity disorders
Small intestine disorders
Gastrointestinal system/Nutrition pathology review
Appendicitis: Pathology review
Cirrhosis: Pathology review
Colorectal polyps and cancer: Pathology review
Congenital gastrointestinal disorders: Pathology review
Disorders of amino acid metabolism: Pathology review
Disorders of carbohydrate metabolism: Pathology review
Diverticular disease: Pathology review
Environmental and chemical toxicities: Pathology review
Esophageal disorders: Pathology review
Fat-soluble vitamin deficiency and toxicity: Pathology review
Gallbladder disorders: Pathology review
Gastrointestinal bleeding: Pathology review
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Inflammatory bowel disease: Pathology review
Jaundice: Pathology review
Malabsorption syndromes: Pathology review
Medication overdoses and toxicities: Pathology review
Neuroendocrine tumors of the gastrointestinal system: Pathology review
Pancreatitis: Pathology review
Viral hepatitis: Pathology review
Water-soluble vitamin deficiency and toxicity: B1-B7: Pathology review
Water-soluble vitamin deficiency and toxicity: B9, B12 and vitamin C: Pathology review
Assessments
USMLE® Step 1 questions
0 / 6 complete
USMLE® Step 2 questions
0 / 6 complete
High Yield Notes
20 pages



Questions
USMLE® Step 1 style questions USMLE
0 of 6 complete
USMLE® Step 2 style questions USMLE
0 of 6 complete
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?
Which of the following landmarks will help the surgeon to differentiate a direct versus an indirect inguinal hernia?
External References
First Aid
2024
2023
2022
2021
Inguinal hernia p. 377, 641
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.