07 Hernia
- inhale, diaphragm moves down and closes structures/bowels, herniation
3 locations
- diaphragm where esophagus pokes through
- umbilicus
- inguinal
Femoral Structure
- inguinal ligament between superior iliac spine and pubic symphysis
- find femoral artery by feeling for pulsation. Medial is vein. Lateral is nerve
- look down from top
- femoral ring contained in vein that carry lymphatics
- femoral sheath contain vein, artery, ring
Inguinal Canal
- on top of inguinal ligament
Hernia
Indirect
- testes form within process
- opening should seal
- develop in adulthood with years of bearing down
Direct
- indirect in spermatic cord, fascia
- direct outside spermatic fascia
- transversalis fascia weak and breaks down
Femoral
Ventral Hernia
Hiatal Hernia
- obesity: stomach forced up
- GE junction slides up
- phrenoesophageal membrane in diaphragm not sealed
- gurgling in stomach heard in abdomen
Diaphragmatic Hernia
