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Kaplan Qbank USMLE



Author8 Posts
  #1

distinguishing features of direct and indirect inguinal hernia?

  #2

Direct hernias : emerges through the posterior wall of the inguinal canal MEDIAL to the inferior epigastric veins

Indirect hernias: passes through deep ring LATERAL to the inferior epigastric vessels, courses through the inguinal canal.

Both hernias pass through the superficial inguinal ring.


  #3

more common?

reducible?

painful?


  #4

Only indirect inguinal hernia passes through the deep inguinal ring.

  #5

Direct is reducible.

indirect is more painful.

direct is more common?


  #6

inferior epigastric vessle is the surgical hallmark to distinguish 'em
_ pathology: direct hernia fr the weakness of the abdo wall so will see in elderly,
indirect : fr deep inguinal ring to surperficial ring.... common in younger
_ both of them are reducible if not, strangle hernia will happen_ urgent surgery; However this emergency is of indirect , very rare for direct
_ painful is sign of compression vessles, nerve, gut.... main reason of hospitalisation, it is indirectophilic



  #7

indirect is more common than direct.

  #8

Exactly, in general.... agree w U







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