Hernia Hernia Symptoms and Diagnosis 2

Question 1

What term describes a hernia that cannot be manually reduced back into the abdominal cavity?

Accepted Answer

Incarcerated

Answer

An incarcerated hernia is one that cannot be returned to the abdominal cavity, raising the risk of strangulation.

Question 2

Which sign on physical exam involves palpating an impulse along the inguinal canal when the patient coughs?

Accepted Answer

Cough impulse sign

Answer

A palpable cough impulse along the inguinal canal is a classic physical finding in inguinal hernia examination.

Question 3

What is the Howship-Romberg sign associated with?

Accepted Answer

Obturator hernia

Answer

The Howship-Romberg sign—pain radiating to the medial thigh on hip extension—is pathognomonic for obturator hernia.

Question 4

CT scan is preferred over ultrasound for hernia diagnosis in which scenario?

Accepted Answer

Suspected occult or internal hernia causing bowel obstruction

Answer

CT is superior for detecting internal or occult hernias and for evaluating complications such as bowel obstruction or strangulation.

Question 5

Which symptom is typically absent in a reducible hernia but present in an incarcerated one?

Accepted Answer

Constant, severe local pain at rest

Answer

Constant pain at rest indicates the hernia contents are trapped and potentially ischemic, unlike a reducible hernia which is usually asymptomatic at rest.

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Hernia Hernia Symptoms and Diagnosis 2