front 1 What is the femoral triangle boundaries? | back 1 Superiorly - Inguinal ligament Laterally - Sartorius Medically- Adductor longus |
front 2 What is the femoral sheath? | back 2 Fascial tube 3-4cm below inguinal ligament that cantains the femoral vein, artery, and deep inguinal lymph nodes but NOT femoral Nerve |
front 3 What is the proper organization of the vein artery nerve in the femoral triangle? | back 3 NAVeL Lateral to Medial Nerve,Artery,Vein,empty, Lymph |
front 4 The layers of abdominal muscles superficial to deep? | back 4 External Oblique Internal Oblique Transversus Abdominis Tranversalis facsia |
front 5 The spermatic cord is composed of what layers of aponeurosis? | back 5 ICE tie Internal spermatic fascia = tranversalice Cremasteric muscle = internal oblique External spermatic fascia = external oblique (anatomic hole passes the spermatic cord thru this structure) |
front 6 What is a hernia? | back 6 A protrusion of peritoneum through an opening, usually at a site of weakness |
front 7 What is at risk when you have a hernia? | back 7 incarceration = can't go back Strangulation = ischemia |
front 8 What are the four major types of hernias? | back 8 Diaphragmatic Indirect inguinal Direct inguinal Femoral |
front 9 What is a diaphragmatic hernia (Hiatal hernia)? | back 9 Abdominal structures enter the thorax thru weakness or congenital defect? |
front 10 Which size is a diaphragmatic hernia most common? | back 10 left because liver protects the right. |
front 11 What are the two subtypes of diaphragmatic hernias? | back 11 Sliding and para-esophageal |
front 12 What is a sliding hernia? | back 12 Gastroesophageal junction is displaced upward gives Hourglass stomach |
front 13 What is a paraesophagel hernia? | back 13 Fundus protrudes into the thorax. |
front 14 What are the locations of ingual (direct/indircet) and femoral? | back 14 Direct inguinal is medial to inf epigastic vessels Indirect inguinal is Lateral to inf. epigastic vessels Femoral in inferior to inguinal ligament and medial to femoral vessels |
front 15 Indirect inguinal hernia enter where? | back 15 DEEP inguinal ring into scrotum (covered by same three layers as spermatic fascia) Lateral to inf. epigastric vessels |
front 16 What may causes indirect inguinal hernias in infants? | back 16 failure of processus vaginalis to close Males>>>females |
front 17 Where does a direct inguinal hernia go? | back 17 Directly thru inguinal(hesselbach) triangle. Medial to inf. epigastric vessels ONLY EXTERNAL part of spermatic cord |
front 18 Femoral Hernias more common in men or women? COmplications? | back 18 Women Strangulation higher risk |
front 19 What is the inguinal (Hesselbach) triangle? | back 19 Inferior Epigastric vessels Lateral Rectus Abdominis Inguinal Ligament |