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

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