Hernia: Difference between revisions
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=Differential Diagnosis= | =Differential Diagnosis= | ||
* Different | * Different kinds of hernias, such as [[Brain]], [[diaphragmatic hernia|diaphragmatic]], [[Lumbar]], [[Abdominal]], and [[Pelvic]] hernias have to be differentiated upon various history, symptoms, and physical examination findings. | ||
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| style="background: #F5F5F5; padding: 5px;" |[[Vermiform appendix|Appendix vermiformis]] herniation through [[abdominal wall]] | | style="background: #F5F5F5; padding: 5px;" |[[Vermiform appendix|Appendix vermiformis]] herniation through [[abdominal wall]] | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Littre's hernia | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Alexis Littre|Littre's hernia]] | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
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| style="background: #F5F5F5; padding: 5px;" |[[Meckel's diverticulum]] herniation through [[abdominal wall]] | | style="background: #F5F5F5; padding: 5px;" |[[Meckel's diverticulum]] herniation through [[abdominal wall]] | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Richter's hernia | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[August Gottlieb Richter|Richter's hernia]] | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
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| style="background: #F5F5F5; padding: 5px;" |[[Viscera]] herniation through [[Sciatic notch|sciatic canal]] | | style="background: #F5F5F5; padding: 5px;" |[[Viscera]] herniation through [[Sciatic notch|sciatic canal]] | ||
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=References= | =References= | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} |
Revision as of 16:57, 30 January 2018
Hernia Landing page |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Synonyms and Keywords: Hernia, Congenital hernia.
Overview
Hernia is abnormal protrusion of an organ through another one. Hernias may be congenital or acquired. Based on the protruded organ and the location of the protrusion, the hernia would be classified into inguinal, femoral, umbilical, diaphragmatic, incisional, and other hernias.
Classification
Differential Diagnosis
- Different kinds of hernias, such as Brain, diaphragmatic, Lumbar, Abdominal, and Pelvic hernias have to be differentiated upon various history, symptoms, and physical examination findings.
Location | Diseases | History and Symptoms | Physical Examination | Laboratory Findings | Definition | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Neurological | GI | Neurological | GI | ||||||||||||
Confusion | Paresthesia | Dysphagia | Heartburn | Nausea | Bowel habits | Loss of Consciousness | Straight leg raise (SLR) | Mass protrusion | Tenderness/Rebound tenderness | Leukocytosis | CRP | ESR | |||
Brain | Brain hernia | + | + | + | - | + | - | + | - | - | - | - | - | - | Brain tissue herniation through foramen magnum |
Diaphragmatic | Hiatal hernia | - | - | + | + | + | - | - | - | - | - | - | + | - | Stomach herniation through diaphragm |
Sliding hernia | - | - | + | + | + | - | - | - | - | - | - | - | - | Esophagus herniation through diaphragm | |
Lumbar | Lumbar disc hernia | - | + | - | - | - | - | - | + | - | - | - | - | - | Nucleus pulposus herniation through annulus fibrosus |
Abdominal | Umbilical hernia | - | - | - | - | + | + | - | - | + | + | + | + | - | Bowels herniation through umbilicus |
Epigastric hernia | - | - | - | + | + | + | - | - | + | + | + | + | - | Bowels herniation through epigastric abdominal wall | |
Spigelian hernia | - | - | - | - | + | + | - | - | + | + | + | + | - | Bowels herniation through lateral abdominal wall | |
Amyand's hernia | - | - | - | - | + | + | - | - | + | + | + | + | - | Appendix vermiformis herniation through abdominal wall | |
Littre's hernia | - | - | - | - | + | + | - | - | + | + | + | + | - | Meckel's diverticulum herniation through abdominal wall | |
Richter's hernia | - | - | - | - | + | + | - | - | + | + | + | + | + | Bowels herniation and strangulation through abdominal wall | |
Parastomal hernia | - | - | - | - | + | + | - | - | + | + | + | + | + | Bowels herniation through stoma in the abdominal wall | |
Pelvic | Inguinal hernia | - | - | - | - | - | + | - | - | + | + | - | - | - | Bowels herniation through inguinal ring |
Obturator hernia | - | + | - | - | - | + | - | - | - | + | - | - | - | Viscera herniation through obturator canal | |
Perineal hernia | - | - | - | - | - | + | - | - | + | + | + | - | - | Viscera herniation through pelvic floor | |
Femoral hernia | - | + | - | - | - | + | - | - | + | + | - | - | - | Bowels herniation through femoral ring | |
Sciatic hernia | - | + | - | - | - | + | - | + | - | + | + | - | + | Viscera herniation through sciatic canal |