Hernia: Difference between revisions

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=Differential Diagnosis=
=Differential Diagnosis=
 
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'''Abdominal [[hernias]] differential table based on location'''
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Differential Diagnosis}}
! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Similar Features}}
! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Differentiating Features}}
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Umbilical Hernia
| style="padding: 5px 5px; background: #F5F5F5;" |
* On physical exam; reducible, visible with [[Valsalva maneuver|valsalva]] and disappears with laying flat, non- [[Tenderness (medicine)|tender]].
| style="padding: 5px 5px; background: #F5F5F5;" |Location:
* [[Linea alba]] through weakened [[umbilical]] ring.
* Paraumbilical [[Hernia|hernias]] through [[linea alba]] in the region of the [[Navel|umbilicus]].
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Epigastric hernia]]
| style="padding: 5px 5px; background: #F5F5F5;" |
* On physical exam; reducible, visible with [[Valsalva maneuver|valsalva]] and disappears with laying flat, non- [[Tenderness (medicine)|tender]].
| style="padding: 5px 5px; background: #F5F5F5;" |Location:
* [[Linea alba]] between [[Navel|umbilicus]] and [[xiphoid process]].
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Spigelian hernia]]
| style="padding: 5px 5px; background: #F5F5F5;" |
* On physical exam; reducible, visible with [[Valsalva maneuver|valsalva]] and disappears with laying flat, non- [[Tenderness (medicine)|tender]].
| style="padding: 5px 5px; background: #F5F5F5;" |Location:
* [[Semilunar hiatus|Semilunar]] line: along the lateral borders of [[Rectus abdominis muscle|rectus abdominis]].
* [[Hernia|Herniation]] typically occurs [[Anatomical terms of location|caudally]] (below [[arcuate]] line) due to absence of [[Anatomical terms of location|posterior]] [[Rectus abdominis muscle|rectus]] sheath.
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Incisional hernia]]
| style="padding: 5px 5px; background: #F5F5F5;" |
* On physical exam; reducible, visible with [[Valsalva maneuver|valsalva]] and disappears with laying flat, non- [[Tenderness (medicine)|tender]].
| style="padding: 5px 5px; background: #F5F5F5;" |Location:
* Site of prior [[incision]].
|}


=References=
=References=

Revision as of 19:39, 29 January 2018


Hernia Landing page

Patient Information

Classification

Inguinal hernia
Femoral hernia
Umbilical hernia
Diaphragmatic hernia
Incisional hernia
Others

Differential Diagnosis

CNS Hernia

Brain Hernia
Lumbar Disc Hernia

Diaphragmatic Hernia

Bochdalek Hernia
Morgagni Hernia

Hiatal Hernia

Sliding Hernia
Paraesophageal Hernias

Lumbar Hernia

Petit's Hernia
Grynfeltt's Hernia

Abdominal Hernia

Umbilical Hernia
Epigastric Hernia
Spigelian Hernia
Incisional Hernia
Amyand's Hernia
Richter's Hernia
Parastomal Hernia

Pelvic Hernia

Inguinal Hernia
Obturator Hernia
Perineal Hernia
Incisional Hernia
Femoral Hernia
Sciatic Hernia

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 any organ through another one. Hernias may be congenital or acquired. Based on the protruded organ and the location of protrusion, hernia would classified into inguinal, femoral, umbilical, diaphragmatic, incisional, and other hernias.

Classification

Differential Diagnosis

Abdominal hernias differential table based on location
Differential Diagnosis Similar Features Differentiating Features
Umbilical Hernia
  • On physical exam; reducible, visible with valsalva and disappears with laying flat, non- tender.
Location:
Epigastric hernia
  • On physical exam; reducible, visible with valsalva and disappears with laying flat, non- tender.
Location:
Spigelian hernia
  • On physical exam; reducible, visible with valsalva and disappears with laying flat, non- tender.
Location:
Incisional hernia
  • On physical exam; reducible, visible with valsalva and disappears with laying flat, non- tender.
Location:

References

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