Inguinal hernia (peds): Difference between revisions
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#inguinal lymph node | #inguinal lymph node | ||
Treatment | ==Treatment== | ||
#95% can be reduced w/o surgery using gentle FIRM CONTINUOUS pressure, trendelenberg, & analgesics | #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 | # Surgery consult or f/u if can't reduce. Ensure no obstruction | ||
Revision as of 20:57, 7 June 2011
Inguinal Hernia
Backgroun
- 1-2% of children hve these
- 10% become incarcerated
- 70% of incarceration occurs ininfants (usu <6 mo)
- 10% become incarcerated
- 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
DDX
- hydrocele
- torsion
- 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