new_n_lost
Forum Hero
Topics: 724
Posts: 6,386
|
A 43-year-old man presents complaining of pain in the groin. On examination, his physician palpates a bulge in the region of the superficial inguinal ring, which he diagnoses as a direct inguinal hernia.
The hernial sac most likely
A. is covered by all three layers of the spermatic fascia
B. passes medial to the inferior epigastric artery
C. passes medial to the lateral border of the rectus abdominis muscle
D. passes posterior to the inguinal ligament
E. passes through the deep inguinal ring
___________________
"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| Jackofknives
Ipwnpoker.com
Topics: 91
Posts: 740
|
B
___________________
There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.
|
| forumdoctor
Forum Senior
Topics: 14
Posts: 123
|
B
|
| titly
Forum Elite
Topics: 21
Posts: 322
|
B
___________________
we spend our days waiting for the ideal path to appear in front of us, but, what we forget is paths are made by walking, not by waiting. keep walking................................
|
| new_n_lost
Forum Hero
Topics: 724
Posts: 6,386
|
___________________
"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| new_n_lost
Forum Hero
Topics: 724
Posts: 6,386
|
The correct answer is B.
Direct inguinal hernias enter the inguinal canal by tearing through the posterior wall of that structure. The typical location for this type of hernia is through the inguinal triangle, bounded laterally by the inferior epigastric artery, medially by the lateral border of the rectus abdominis, and inferiorly by the inguinal ligament. Direct inguinal hernias pass medial to the inferior epigastric artery, whereas indirect inguinal hernias pass lateral to the inferior epigastric artery because the deep inguinal ring is lateral to the artery.
Indirect inguinal hernias are covered by all three layers of the spermatic fascia (choice A). Direct inguinal hernias are covered by fewer than all three layers because the direct inguinal hernia tears through one or more layers of fascia as it emerges though the abdominal wall.
The lateral border of the rectus abdominis muscle (choice C) forms the medial border of the inguinal triangle. All inguinal hernias pass lateral to the rectus abdominis.
Femoral hernias pass posterior to the inguinal ligament (choice D). Inguinal hernias emerge through the superficial inguinal ring, which is superior to the inguinal ligament. Inguinal hernias that descend below the inguinal ligament pass anterior to the ligament.
Indirect inguinal hernias pass through the deep inguinal ring (choice E); direct inguinal hernias do not. Both types of inguinal hernias pass through the superficial inguinal ring.
___________________
"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
|
| |
| | | | | | |
