Tiêu đề Groin swelling ✅

Femoral Hernia - > in women - > to incarcerated/ strangulation→ emergency OT - Site: Medial to femoral pulse, inferior and lateral to pubic tubercle via femoral canal - usually not reducible - no cough impulse - Incarcerated→ tender firm mass Inguinal Lymphaden opathy - Infections of the leg or foot, STDs (e.g., herpes simplex virus, gonococcal infection) - Lymphoma, pelvic malignancy, - non-tender swelling + rubbery + limited movement + cystic quality on palpation - SIte: outside inguinal canal + x extend to scrotum Saphena varix - RF: prolonged standing, smoking, prior venous thrombosis, lower extremity trauma, fam hx venous dx - Non-tender - Has cough impulse - Thrills upon palpation when coughing + inspection of the limb in a standing position Femoral artery aneurysm - older pts, male - RF: smoking, HPT, HL, CAD, PAD, vasculitis, CTD - pulsatile asx mass - pain over the mass from compression of femoral n. - any acute limb ischemia Lymphoma - Fever + night sweats + LOW - RF: immunodeficiency, fam hx - Painless, rubbery, firm - may increase in size - organomegaly - cervical, supraclavicular, axillary lymphadenopathy Undescend ed testes - > in children - RF: prematurity, LBW, SGA - > in left sided, may bilateral - empty scrotum Groin abscess -IVDU who inject into the groin -Hidradenitis suppurativa (affect hair follicles) ● painful, ● tender ● indurated ● erythematous ● firm → the overlying skin becomes thin and fluctuant Izzaty, Nisa, Iman, Lissa (7/6/2021) Forti
More common in pregnancy → femoral & umbilical hernia Causes of hernia → smoking, copd, peritoneal dialysis, pregnancy, obesity INGUINAL HERNIA Defect/weakness in abdominal wall causing abnormal protrusion of intraabdominal contents - M>F 9:1 - Reducible hernia: contents can return into position - Irreducible: contents cant return due to adhesion btwn contents Anatomy Izzaty, Nisa, Iman, Lissa (7/6/2021) Forti
Aetiology 1. Anatomical → Weakness due to structures entering & leaving the abdomen 2. Acquired → Sharp/blunt traumas, ↑ intra-abdominal pressure 3. Congenital → Failure of processus vaginalis to close 4. Physiological → Weakness due to ageing and pregnancy Izzaty, Nisa, Iman, Lissa (7/6/2021) Forti