Hernias

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All sonographic images are real images acquired on a professional ultrasound machine.

The answers are in the dark.

Hernias

Schematics and Images

1. Femoral 2. Indirect 3. Direct 4. Spigelian

Location to assess for femoral hernia

Here is where to look for both Indirect and Direct hernias: Indirect will be Lat to IEA, Direct will be Med.

The IEA travels cephalad and superficial to join the rectus abdominis.

Indirect hernia (looks like an “I”) — For direct and indirect hernias, this is the golden image: start here. The hernias will present on either side of the Inferior Epigastric Artery.

Direct hernia (looks like a “D”) — For direct and indirect hernias, this is the golden image: start here. The hernias will present on either side of the Inferior Epigastric Artery.