Abdominal Wall Hernias Quiz
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Questions and Answers

What is an incisional hernia?

An incisional hernia is caused by a defect in the abdominal musculature that develops after a surgical incision, resulting in a protrusion in the area of the surgical scar.

What does protrusion of the navel indicate?

Protrusion of the navel indicates an umbilical hernia.

What can happen if a hernia is nonreducible or incarcerated?

If a hernia is nonreducible or incarcerated, the blood supply to the protruded contents may become obstructed and require immediate surgery.

When may diastasis recti become apparent?

<p>Diastasis recti may become apparent when the patient raises his or her head from the table.</p> Signup and view all the answers

What causes a diaphragmatic hernia?

<p>A diaphragmatic hernia occurs when there is a defect in the diaphragm that allows abdominal contents to move into the chest cavity.</p> Signup and view all the answers

How can you determine the size of an umbilical hernia?

<p>Measure the diameter of the umbilical opening rather than the protruding contents.</p> Signup and view all the answers

At what age do most umbilical hernias close spontaneously?

<p>By 1 to 2 years of age.</p> Signup and view all the answers

What is diastasis rectus abdominis?

<p>A separation 1 to 4 cm wide in the midline between the xiphoid and the umbilicus.</p> Signup and view all the answers

What should be considered if an infant is vomiting frequently?

<p>Peristaltic waves observed in the abdomen.</p> Signup and view all the answers

When does the maximum size of an umbilical hernia generally occur?

<p>By 1 month of age.</p> Signup and view all the answers

What are some signs of an umbilical hernia that the examiner should look for during the physical examination?

<p>Inflammation, swelling, or bulge</p> Signup and view all the answers

What is the significance of periumbilical discoloration (Cullen sign) during the examination?

<p>It suggests intra-abdominal bleeding</p> Signup and view all the answers

What is the term for the pearl-like, enlarged and sometimes painful umbilical nodule that can be the first sign of an intra-abdominal malignancy?

<p>Sister Mary Joseph's nodule</p> Signup and view all the answers

What are some possible causes of generalized symmetric distention of the abdomen?

<p>Obesity, enlarged organs, fluid, or gas</p> Signup and view all the answers

What can cause distention from the umbilicus to the symphysis?

<p>Ovarian tumor, pregnancy, uterine fibroids</p> Signup and view all the answers

What are three common causes of paralytic ileus?

<p>Diuretics, narcotics, hypothyroidism</p> Signup and view all the answers

How can a patient on diuretics for hypertension develop a paralytic ileus?

<p>Hypokalemia</p> Signup and view all the answers

What physical maneuver can help reveal previously unseen bulges or masses in the abdomen?

<p>Asking the patient to take a deep breath and hold it</p> Signup and view all the answers

What does it indicate if a patient's abdomen is significantly distended with hypoactive bowel sounds and diminished deep tendon reflexes?

<p>Possible paralytic ileus</p> Signup and view all the answers

How can you differentiate between an umbilical hernia and an incisional hernia?

<p>Umbilical hernias occur at the umbilicus, while incisional hernias occur at the site of a previous surgical incision</p> Signup and view all the answers

What is a common finding in infants characterized by the protrusion of omentum and intestine through the umbilical opening?

<p>Umbilical hernia</p> Signup and view all the answers

What term is used to describe the protrusion of abdominal contents through a defect in the abdominal wall at the site of a surgical scar?

<p>Incisional hernia</p> Signup and view all the answers

What type of hernia is characterized by a protrusion of abdominal contents through a defect in the diaphragm?

<p>Diaphragmatic hernia</p> Signup and view all the answers

What is a possible diagnosis when there is a nodule of granulomatous tissue in the folds of skin in the umbilicus?

<p>Paralytic ileus</p> Signup and view all the answers

What should alert you to the possibility of congenital anomalies when inspecting the umbilical cord of a newborn?

<p>A single umbilical artery</p> Signup and view all the answers

What is the difference between an umbilical hernia and an incisional hernia?

<p>Umbilical hernia occurs at the belly button, while incisional hernia occurs at the site of a previous surgical incision.</p> Signup and view all the answers

Explain the mechanism behind a diaphragmatic hernia.

<p>A diaphragmatic hernia occurs when there is a hole in the diaphragm, allowing abdominal organs to move into the chest cavity.</p> Signup and view all the answers

What is the main risk associated with a paralytic ileus?

<p>The main risk with paralytic ileus is the potential for bowel perforation due to the lack of movement within the intestines.</p> Signup and view all the answers

How does peristalsis affect the movement of food in the alimentary tract?

<p>Peristalsis is a wave-like muscle contraction that propels food along the digestive tract through rhythmic contractions and relaxations.</p> Signup and view all the answers

What are the protective functions of the mesentery in the abdominal cavity?

<p>The mesentery covers most of the small intestine and anchors it to the posterior abdominal wall, providing protection and support.</p> Signup and view all the answers

What is the difference between a paralytic ileus and a mechanical obstruction in the intestine?

<p>Paralytic ileus is caused by decreased or absent intestinal motility, while a mechanical obstruction is caused by a physical blockage in the intestine.</p> Signup and view all the answers

Explain the pathophysiology of a diaphragmatic hernia.

<p>A diaphragmatic hernia occurs when abdominal organs move into the chest cavity through a defect in the diaphragm.</p> Signup and view all the answers

What are the risk factors for developing an umbilical hernia?

<p>Risk factors for developing an umbilical hernia include obesity, multiple pregnancies, and chronic coughing.</p> Signup and view all the answers

How does an incisional hernia differ from other types of hernias?

<p>An incisional hernia occurs at the site of a previous surgical incision, while other hernias may develop in different areas of the abdominal wall.</p> Signup and view all the answers

What are the signs and symptoms of a strangulated hernia?

<p>Signs and symptoms of a strangulated hernia include severe abdominal pain, nausea, vomiting, and discoloration of the overlying skin.</p> Signup and view all the answers

How is an umbilical hernia diagnosed?

<p>An umbilical hernia is typically diagnosed based on physical examination, where a bulge is felt near the umbilicus.</p> Signup and view all the answers

Discuss the potential complications of an untreated diaphragmatic hernia in infants.

<p>Untreated diaphragmatic hernia in infants can lead to respiratory distress, lung hypoplasia, and even death.</p> Signup and view all the answers

What are the treatment options for an incarcerated umbilical hernia?

<p>Treatment for an incarcerated umbilical hernia involves manual reduction or surgical repair to prevent strangulation.</p> Signup and view all the answers

Explain the role of the ileocecal valve in the prevention of backward flow of fecal material.

<p>The ileocecal valve acts as a one-way valve that prevents the reflux of fecal contents from the large intestine into the small intestine.</p> Signup and view all the answers

How does a paralytic ileus differ from an obstruction caused by adhesions?

<p>A paralytic ileus results from decreased motility without a physical blockage, while an obstruction due to adhesions involves a mechanical blockage caused by scar tissue.</p> Signup and view all the answers

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