Inguinal hernia (peds): Difference between revisions
(→DDX) |
|||
| Line 1: | Line 1: | ||
==Inguinal Hernia== | ==Inguinal Hernia== | ||
=== | ===Background=== | ||
* 1-2% of children hve these | * 1-2% of children hve these | ||
**10% become incarcerated | **10% become incarcerated | ||
Revision as of 20:57, 7 June 2011
Inguinal Hernia
Background
- 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