Inguinal hernia (peds): Difference between revisions

Revision as of 20:56, 7 June 2011

1-2% of children hve these
- 10% become incarcerated
  - 70% of incarceration occurs ininfants (usu <6 mo)
M:F 6:1
21% of F w/ inguinal hernia contain an ovary!

parents usu report bulge in scrotum or groin that incr w/ crying
lack of transillumination indicates incarcerated hernia vs hydrocele (usu no chng w/ crying)
UTZ

Treatment

95% can be reduced w/o surgery using gentle FIRM CONTINUOUS pressure, trendelenberg, & analgesics
Surgery consult or f/u if can't reduce. Ensure no obstruction

Authors:

@@ Line 1: / Line 1: @@
 ==Inguinal Hernia==
+===Backgroun===
+* 1-2% of children hve these
+**10% become incarcerated
+***70% of incarceration occurs ininfants (usu <6 mo)
+*M:F 6:1
+*21% of F w/ inguinal hernia contain an ovary!
+==Diagnosis==
+*parents usu report bulge in scrotum or groin that incr w/ crying
+*lack of transillumination indicates incarcerated hernia vs hydrocele (usu no chng w/ crying)
+*UTZ
-* 1-2% of children hve these, 10% become incarcerated, 70% of incarceration occurs ininfants (usu <6 mo), M:F 6:1, 21% of F w/ inguinal hernia contain an ovary!
+==DDX==
-* S/S: parents usu report bulge in scrotum or groin that incr w/ crying, lack of transillumination indicates incarcerated hernia vs hydrocele (usu no chng w/ crying), must distinguish btwn hydrocele, torsion, inguinal lymph node, UTZ can help!
+#hydrocele
-* Rx: 95% can be reduced w/o surgery using gentle FIRM CONTINUOUS pressure, trendelenberg, & analgesics
+#torsion
-* Surgery consult or f/u if can't reduce. Ensure no obstruction
+#inguinal lymph node
+Treatment
+#95% can be reduced w/o surgery using gentle FIRM CONTINUOUS pressure, trendelenberg, & analgesics
+# Surgery consult or f/u if can't reduce. Ensure no obstruction
 [[Category:Peds]]
+[[Category:GI]]