Approach to Hernias in the ED

Approach to Hernias in the ED

A hernia is described as, “the abnormal protrusion of abdominal contents through a defect involving the normal confines of the abdominal compartments” (9). It often involves a portion of the intestine protruding through a weak point of the abdominal wall. The location and size of the hernia often determines the symptoms and complications that a patient will present with.

There are several risk factors that make developing a hernia more likely. Older patients and those who have had prior abdominal surgery may have weaker abdominal muscles or connective tissue which would make it easier for a hernia to develop. In addition, if there is increased abdominal pressure, such as patients with obesity, or those who participate frequently in weightlifting, this is another factor that may put someone at a higher risk of developing a hernia. Finally, those with poor wound healing, such as people who smoke often or patients with diabetes, may be at risk for incisional hernias. (6)

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Grand Rounds Recap 03.13.24

Grand Rounds Recap 03.13.24

Another great week of Grand Rounds! We started with optimizing our wet reads on MSK xrays then moved into a victorious CPC win in the diagnosis of giant cell artertitis with a patient presenting with CN VI palsy and diplopia. We then discussed the tips and tricks for hernia reduction before hearing a moving story of a harrowing AirCare transport for ECMO cannulation. We moved into R3 small groups covering obstetrics and labor from mother to newborn and finished off with our pediatrics team visiting to discuss emergent cardiac conditions.

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Grand Rounds Recap 3.30.22

Grand Rounds Recap 3.30.22

Join us as we cover the true breadth of our specialty during this week’s Grand Rounds! Starting from an excellent, ultrasound-loving Morbidity and Mortality Conference with Dr. Walsh, we discuss end of life care in the ED as well as atypical agents for symptomatic relief with visiting professor Dr. Karen Jubanyik, identify and manage hernias of all types during Dr. Brower’s R1 Clinical Knowledge lecture and end with an inspiring talk on imposter phenomenon with Dr. Pulvino in her R4 Capstone.

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