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399883
Groin swelling
Description
GU system Mind Map on Groin swelling, created by greenfylde on 28/11/2013.
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gu system
gu system
Mind Map by
greenfylde
, updated more than 1 year ago
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Created by
greenfylde
almost 11 years ago
31
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Resource summary
Groin swelling
Annotations:
inguinal lig: from ASIS to pubic tubercle deep ring: at midpoint of ing lig
inguinal hernia
indirect: (thru deep ring)
direct (thru post wall of canal)
test to determine which:
after reducing indirect, press over deep ring (mid-point of inguinal lig), ask pt to cough. Should NOT come out if indirect. if pops out = direct
Annotations:
*in reality, this test meaningless. but need to do for exam
reduce/originate above pubic tubercle
other places: epigastric, umbilical
complications
incarcerated hernia
irreducible but blood supp NOT compromised
strangulated hernia
irreducible, blood supp compromised
usuall obstruct as well, so absolute constip
overly skin color change
necrotic bowel
femoral hernia
thru femoral canal (medial to fem vein, below ing lig)
reduce/originate below pubic tubercle
easily strangulates b/c tight ring
females more likely this kind
diff diag:
skin: sebaceous cyst
subcut- lipoma, fibroma
arterial- femoral aneurysm/pseudoaneurysm
venous- saphena varix
lymphatics- lymphadenopathy
psoas abscess
ectopic testis
hernia- inguinal, femoral
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