Podcast
Questions and Answers
What is the primary cause of hemorrhoids?
What is the primary cause of hemorrhoids?
- Genetic factors
- Viral infections
- Increased dietary fiber
- Sedentary lifestyle and straining (correct)
Which condition is NOT classified as a noninflammatory bowel disorder?
Which condition is NOT classified as a noninflammatory bowel disorder?
- Colon cancer
- Hernia
- Crohn’s disease (correct)
- Irritable bowel syndrome
What does it mean if a hernia is described as irreducible?
What does it mean if a hernia is described as irreducible?
- It resolves on its own
- It is caused by excessive physical activity
- It can be pushed back into place
- It cannot be moved back into its original position (correct)
What is a potential consequence of a strangulated hernia?
What is a potential consequence of a strangulated hernia?
Which factor increases the risk of developing bowel cancer?
Which factor increases the risk of developing bowel cancer?
Which factor is associated with an increased risk of developing a femoral hernia?
Which factor is associated with an increased risk of developing a femoral hernia?
What is an expected finding when assessing a hernia?
What is an expected finding when assessing a hernia?
What nursing action is recommended for a client whose hernia does not require surgery?
What nursing action is recommended for a client whose hernia does not require surgery?
What should a postoperative client do to prevent complications during recovery?
What should a postoperative client do to prevent complications during recovery?
Which of the following is NOT a risk factor for developing a hernia?
Which of the following is NOT a risk factor for developing a hernia?
Which of the following symptoms is commonly related to irritable bowel syndrome (IBS)?
Which of the following symptoms is commonly related to irritable bowel syndrome (IBS)?
What influence is NOT considered a potential contributor to the development of IBS?
What influence is NOT considered a potential contributor to the development of IBS?
Which of the following criteria does NOT help in diagnosing IBS?
Which of the following criteria does NOT help in diagnosing IBS?
Which of the following factors is least likely to influence IBS symptoms?
Which of the following factors is least likely to influence IBS symptoms?
Which cytokine is mentioned as part of the immunological factors related to IBS?
Which cytokine is mentioned as part of the immunological factors related to IBS?
Which dietary change is recommended for managing symptoms of irritable bowel syndrome?
Which dietary change is recommended for managing symptoms of irritable bowel syndrome?
Which of the following is NOT considered a risk factor for developing irritable bowel syndrome?
Which of the following is NOT considered a risk factor for developing irritable bowel syndrome?
Which symptom is associated with diarrhea-predominant irritable bowel syndrome?
Which symptom is associated with diarrhea-predominant irritable bowel syndrome?
What is an expected finding during the assessment of a patient with irritable bowel syndrome?
What is an expected finding during the assessment of a patient with irritable bowel syndrome?
Which of the following beverages should be avoided by individuals managing irritable bowel syndrome?
Which of the following beverages should be avoided by individuals managing irritable bowel syndrome?
What is the purpose of the hydrogen breath test in diagnosing conditions related to irritable bowel syndrome?
What is the purpose of the hydrogen breath test in diagnosing conditions related to irritable bowel syndrome?
Which of the following laboratory tests is typically expected to show normal results in patients with irritable bowel syndrome?
Which of the following laboratory tests is typically expected to show normal results in patients with irritable bowel syndrome?
How long should a client remain NPO prior to undergoing a hydrogen breath test?
How long should a client remain NPO prior to undergoing a hydrogen breath test?
What could a positive result in the hydrogen breath test indicate?
What could a positive result in the hydrogen breath test indicate?
Which of the following statements about the hydrogen breath test is false?
Which of the following statements about the hydrogen breath test is false?
What is the purpose of instructing a client with IBS to keep a food diary?
What is the purpose of instructing a client with IBS to keep a food diary?
Which of the following medications is specifically indicated for diarrhea-predominant IBS in females?
Which of the following medications is specifically indicated for diarrhea-predominant IBS in females?
What is a potential side effect of Loperamide when used for IBS-D?
What is a potential side effect of Loperamide when used for IBS-D?
What dietary recommendation is essential for managing symptoms of IBS?
What dietary recommendation is essential for managing symptoms of IBS?
Under which condition should Psyllium be discontinued when used for IBS treatment?
Under which condition should Psyllium be discontinued when used for IBS treatment?
What is the primary mechanism by which alosetron alleviates symptoms in IBS-D patients?
What is the primary mechanism by which alosetron alleviates symptoms in IBS-D patients?
Which observation should prompt immediate discontinuation of alosetron?
Which observation should prompt immediate discontinuation of alosetron?
What is a key consideration when prescribing lubiprostone for IBS-C?
What is a key consideration when prescribing lubiprostone for IBS-C?
How long may it take for manifestations of IBS to resolve with treatment using alosetron?
How long may it take for manifestations of IBS to resolve with treatment using alosetron?
What should clients avoid while taking alosetron to minimize risks?
What should clients avoid while taking alosetron to minimize risks?
What is the primary function of Linaclotide in the treatment of irritable bowel syndrome?
What is the primary function of Linaclotide in the treatment of irritable bowel syndrome?
Which condition is characterized by diminished peristalsis within the bowel, often occurring postoperatively?
Which condition is characterized by diminished peristalsis within the bowel, often occurring postoperatively?
What is a common cause of large intestine obstructions in older adults?
What is a common cause of large intestine obstructions in older adults?
What surgical intervention is typically required for complete mechanical bowel obstructions?
What surgical intervention is typically required for complete mechanical bowel obstructions?
Which of the following factors is associated with mechanical bowel obstructions?
Which of the following factors is associated with mechanical bowel obstructions?
What is the primary cause of nonmechanical obstructions like paralytic ileus?
What is the primary cause of nonmechanical obstructions like paralytic ileus?
Which of the following is NOT a manifestation of nonmechanical obstructions?
Which of the following is NOT a manifestation of nonmechanical obstructions?
Which electrolyte imbalance is commonly associated with nonmechanical obstructions?
Which electrolyte imbalance is commonly associated with nonmechanical obstructions?
What role do vascular disorders play in nonmechanical obstructions?
What role do vascular disorders play in nonmechanical obstructions?
Which inflammatory condition can contribute to nonmechanical obstructions?
Which inflammatory condition can contribute to nonmechanical obstructions?
What is a key sign of small bowel obstruction in a patient?
What is a key sign of small bowel obstruction in a patient?
Which of the following symptoms is most associated with obstipation?
Which of the following symptoms is most associated with obstipation?
In the case of a large intestine obstruction, which finding is typically expected?
In the case of a large intestine obstruction, which finding is typically expected?
What metabolic condition might result from a small bowel obstruction?
What metabolic condition might result from a small bowel obstruction?
Which observation might initially accompany abdominal distention in a small bowel obstruction?
Which observation might initially accompany abdominal distention in a small bowel obstruction?
Which laboratory test result is most indicative of dehydration in a patient with an obstruction?
Which laboratory test result is most indicative of dehydration in a patient with an obstruction?
What is a common characteristic of stools in patients experiencing an obstruction?
What is a common characteristic of stools in patients experiencing an obstruction?
Which diagnostic procedure is particularly useful for determining the exact location of an obstruction?
Which diagnostic procedure is particularly useful for determining the exact location of an obstruction?
Which electrolyte imbalance is commonly associated with large intestine obstructions?
Which electrolyte imbalance is commonly associated with large intestine obstructions?
What symptom is expected in a patient experiencing significant lower abdominal distention due to an obstruction?
What symptom is expected in a patient experiencing significant lower abdominal distention due to an obstruction?
What is an appropriate nursing intervention for a patient with a nonmechanical cause of obstruction?
What is an appropriate nursing intervention for a patient with a nonmechanical cause of obstruction?
Which position is recommended for a patient experiencing a nonmechanical bowel obstruction?
Which position is recommended for a patient experiencing a nonmechanical bowel obstruction?
What is the primary nursing action for a patient with a mechanical bowel obstruction?
What is the primary nursing action for a patient with a mechanical bowel obstruction?
Which assessment finding is critical to monitor in a patient with a nonmechanical bowel obstruction?
Which assessment finding is critical to monitor in a patient with a nonmechanical bowel obstruction?
What dietary management should be avoided for a patient recovering from a nonmechanical bowel obstruction?
What dietary management should be avoided for a patient recovering from a nonmechanical bowel obstruction?
What is the primary purpose of administering alvimopan in a clinical setting?
What is the primary purpose of administering alvimopan in a clinical setting?
Which nursing action is essential when managing a patient with a nasogastric (NG) tube?
Which nursing action is essential when managing a patient with a nasogastric (NG) tube?
Which assessment finding should be monitored closely in a patient receiving opioids postoperatively?
Which assessment finding should be monitored closely in a patient receiving opioids postoperatively?
What is a common nursing intervention for a patient on an NG tube to ensure skin integrity?
What is a common nursing intervention for a patient on an NG tube to ensure skin integrity?
Which of the following represents a key component of nursing care when monitoring patients with NG tubes?
Which of the following represents a key component of nursing care when monitoring patients with NG tubes?
What is a possible surgical intervention performed to address a bowel obstruction?
What is a possible surgical intervention performed to address a bowel obstruction?
Which nursing action is crucial after NG tube removal to assess patient's tolerance of intake?
Which nursing action is crucial after NG tube removal to assess patient's tolerance of intake?
What is a key nursing responsibility in monitoring a patient post-surgery for bowel obstruction?
What is a key nursing responsibility in monitoring a patient post-surgery for bowel obstruction?
After a bowel obstruction surgery, what should be prioritized in patient care?
After a bowel obstruction surgery, what should be prioritized in patient care?
What is the purpose of an exploratory laparotomy in bowel obstruction?
What is the purpose of an exploratory laparotomy in bowel obstruction?
What is a crucial nursing action to monitor hydration levels in a patient at risk for dehydration due to a small bowel obstruction?
What is a crucial nursing action to monitor hydration levels in a patient at risk for dehydration due to a small bowel obstruction?
Which laboratory value should be closely monitored to detect electrolyte imbalance in a patient with persistent vomiting?
Which laboratory value should be closely monitored to detect electrolyte imbalance in a patient with persistent vomiting?
What action should a nurse take if there is evidence of fluid imbalance in a patient?
What action should a nurse take if there is evidence of fluid imbalance in a patient?
What complication could result from persistent vomiting associated with a small bowel obstruction?
What complication could result from persistent vomiting associated with a small bowel obstruction?
What should a nurse assess to evaluate dehydration in patients with a small bowel obstruction?
What should a nurse assess to evaluate dehydration in patients with a small bowel obstruction?
What is a nursing action recommended for monitoring electrolyte levels in patients with small bowel obstruction?
What is a nursing action recommended for monitoring electrolyte levels in patients with small bowel obstruction?
Which of the following is a potential consequence of persistent vomiting in the context of metabolic alkalosis?
Which of the following is a potential consequence of persistent vomiting in the context of metabolic alkalosis?
What nursing action should be taken following the assessment of unexpected laboratory findings in a patient suspected of having metabolic alkalosis?
What nursing action should be taken following the assessment of unexpected laboratory findings in a patient suspected of having metabolic alkalosis?
Which symptom might indicate hypoventilation in a patient with metabolic alkalosis due to small intestinal obstruction?
Which symptom might indicate hypoventilation in a patient with metabolic alkalosis due to small intestinal obstruction?
What nursing intervention is crucial for older adults experiencing increased thirst response due to electrolyte imbalances?
What nursing intervention is crucial for older adults experiencing increased thirst response due to electrolyte imbalances?
What is a potential complication of a large bowel obstruction?
What is a potential complication of a large bowel obstruction?
Which nursing action is essential for monitoring a patient with suspected metabolic acidosis?
Which nursing action is essential for monitoring a patient with suspected metabolic acidosis?
What is a common respiratory pattern observed in patients compensating for metabolic acidosis?
What is a common respiratory pattern observed in patients compensating for metabolic acidosis?
Which symptom may indicate a worsening condition in a patient with metabolic acidosis?
Which symptom may indicate a worsening condition in a patient with metabolic acidosis?
What should the nurse do upon obtaining unexpected laboratory findings for a patient suspected of metabolic acidosis?
What should the nurse do upon obtaining unexpected laboratory findings for a patient suspected of metabolic acidosis?
Flashcards
Hernia
Hernia
Bowel displacement through a weak abdominal muscle.
Irreducible Hernia
Irreducible Hernia
A hernia that cannot be pushed back into place.
Strangulated Hernia
Strangulated Hernia
Hernia cutting off blood supply to the bowel.
Strangulated Hernia Symptoms
Strangulated Hernia Symptoms
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Incisional Hernia
Incisional Hernia
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Hernia Assessment
Hernia Assessment
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Hernia Risk Factors
Hernia Risk Factors
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Hernia Truss
Hernia Truss
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Post-Hernia Surgery Care
Post-Hernia Surgery Care
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Prevent Constipation After Hernia Surgery
Prevent Constipation After Hernia Surgery
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Irritable Bowel Syndrome (IBS)
Irritable Bowel Syndrome (IBS)
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IBS Etiology
IBS Etiology
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IBS Triggers
IBS Triggers
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IBS Diagnosis
IBS Diagnosis
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IBS Criteria
IBS Criteria
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IBS Symptoms
IBS Symptoms
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IBS Diet
IBS Diet
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IBS Risk Factors
IBS Risk Factors
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Hydrogen Breath Test
Hydrogen Breath Test
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IBS and the Hydrogen Breath Test
IBS and the Hydrogen Breath Test
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NPO Before Test
NPO Before Test
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Excess Hydrogen: Bacterial overgrowth or Malabsorption
Excess Hydrogen: Bacterial overgrowth or Malabsorption
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IBS Diagnostic Tests
IBS Diagnostic Tests
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IBS-D
IBS-D
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Loperamide for IBS-D
Loperamide for IBS-D
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Psyllium for IBS-D
Psyllium for IBS-D
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Alosetron for IBS-D
Alosetron for IBS-D
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Alosetron
Alosetron
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Alosetron: Contraindications
Alosetron: Contraindications
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Lubiprostone
Lubiprostone
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Linaclotide: What does it do?
Linaclotide: What does it do?
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Mechanical Bowel Obstruction
Mechanical Bowel Obstruction
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Nonmechanical Bowel Obstruction
Nonmechanical Bowel Obstruction
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Treatment for Bowel Obstruction
Treatment for Bowel Obstruction
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Risk Factors for Mechanical Obstruction
Risk Factors for Mechanical Obstruction
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Nonmechanical Obstruction
Nonmechanical Obstruction
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Causes of Paralytic Ileus
Causes of Paralytic Ileus
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Neurogenic Causes of Paralytic Ileus
Neurogenic Causes of Paralytic Ileus
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Vascular Causes of Paralytic Ileus
Vascular Causes of Paralytic Ileus
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Electrolyte Imbalances and Paralytic Ileus
Electrolyte Imbalances and Paralytic Ileus
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Obstipation
Obstipation
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Small bowel obstruction: Symptoms
Small bowel obstruction: Symptoms
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Large bowel obstruction: Sounds
Large bowel obstruction: Sounds
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Bowel obstruction: Distention
Bowel obstruction: Distention
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Large bowel obstruction: Symptom
Large bowel obstruction: Symptom
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Dehydration Indicator
Dehydration Indicator
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Strangulation Clue
Strangulation Clue
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Metabolic Imbalance
Metabolic Imbalance
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Obstruction Location
Obstruction Location
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Obstruction Evaluation
Obstruction Evaluation
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Bowel Rest
Bowel Rest
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Semi-Fowler's Position
Semi-Fowler's Position
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What is a Nonmechanical Bowel Obstruction?
What is a Nonmechanical Bowel Obstruction?
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What is 'Nothing by Mouth' (NPO)?
What is 'Nothing by Mouth' (NPO)?
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Managing Pain for Obstruction
Managing Pain for Obstruction
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Opioid Antagonist (Alvimopan)
Opioid Antagonist (Alvimopan)
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Postoperative Paralytic Ileus
Postoperative Paralytic Ileus
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Nasogastric (NG) Tube with a Vent
Nasogastric (NG) Tube with a Vent
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Maintain Intermittent Suction
Maintain Intermittent Suction
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What is an Exploratory Laparotomy?
What is an Exploratory Laparotomy?
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What is a Colostomy?
What is a Colostomy?
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Hemodynamic Instability
Hemodynamic Instability
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NG Tube Patency
NG Tube Patency
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Clamp NG Tube
Clamp NG Tube
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Dehydration in Bowel Obstruction
Dehydration in Bowel Obstruction
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Electrolyte Imbalance in Bowel Obstruction
Electrolyte Imbalance in Bowel Obstruction
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Nursing Actions for Dehydration
Nursing Actions for Dehydration
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Nursing Actions for Electrolyte Imbalance
Nursing Actions for Electrolyte Imbalance
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What is an Electrolyte Imbalance?
What is an Electrolyte Imbalance?
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Electrolyte Imbalance (Small Bowel Obstruction)
Electrolyte Imbalance (Small Bowel Obstruction)
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Metabolic Alkalosis (Small Bowel Obstruction)
Metabolic Alkalosis (Small Bowel Obstruction)
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Metabolic Acidosis (Large Bowel Obstruction)
Metabolic Acidosis (Large Bowel Obstruction)
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Hypoventilation (Metabolic Alkalosis)
Hypoventilation (Metabolic Alkalosis)
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Deep, Rapid Respirations
Deep, Rapid Respirations
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Nursing Actions for Metabolic Acidosis
Nursing Actions for Metabolic Acidosis
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Study Notes
Noninflammatory Bowel Disorders
- Noninflammatory bowel disorders cause pain, altered bowel habits, bleeding, and malabsorption.
- Examples include hemorrhoids, cancer, hernia, irritable bowel syndrome (IBS), and intestinal obstruction.
Hemorrhoids
- Hemorrhoids are swollen or inflamed veins in the rectum.
- Causes include increased intra-abdominal pressure (e.g., straining, obesity, prolonged sitting/standing, constipation, weightlifting).
- Pregnancy increases the risk.
Bowel Cancer
- Bowel cancer can be linked to age (50+ increased risk), genetics, or chronic bowel diseases (e.g., Crohn's disease, ulcerative colitis).
Hernias
- A hernia is when a part of the intestine pushes through a weak spot in the abdominal muscles.
- Types of hernias:
- Incisional hernias are a surgical complication from poor healing of the surgery site. Possible causes are poor nutrition, infection, or obesity.
- Important features of hernias
- Irreducible hernias: cannot be pushed back into place with manual pressure and require immediate surgery.
- Strangulated hernias: the blood supply to a part of the intestine is cut off. Symptoms include abdominal distension, rapid heartbeat (tachycardia), vomiting, abdominal pain, and fever. Requires immediate surgical intervention to prevent bowel necrosis and perforation.
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