Case Report : - Inguinal Hernias

The patient had a sudden onset of lower left quadrant pain and was diagnosed with

3. Name the structure that is a double fold of peritoneum and holds the small intestine to the

certain swellings, either on the groin or under the armpits grew to be bigger than that of a

swelling of the armpits and groin. As Boccaccio describes " some of which were as big as

The epididymis, a small coiled tube, is located next to the testes, and is continuous with the sperm duct.

Martinez experienced the discomfort of a ventral hernia found on the right lower quadrant of his abdomen. He went to Dr. Kappelman’s office, as an established patient and known to the surgery service. Dr. Kappelman examined Mr. Martinez’s hernia and wanted to monitor it over time. By March 20 of 2013, the hernia symptoms had become unmanageable. Dr. Kappelman decided the most relief would come from surgical repair. Dr. Kappelman’s 37 years of experience and familiarity with his patient’s type of hernia, he was confident in his approach and preparation for Mr. Martinez’s surgery. “If I thought there was something unusual about the hernia, if there was some question about the actual presence of the hernia, I would have evaluated further, but there was no indication for it. Dr. Kappelman spent the previous year monitoring this defect in his patient’s abdominal wall in addition to his symptomology over the previous year. Mr. Martinez was appropriately consented for the ventral hernia repair with the PROCEED Ventral Patch Mesh implantation. “PROCEED Ventral Patch is a sterile, self-expanding, partially absorbable, flexible laminate Mesh device designed for the repair of hernias and other fascial deficiencies”. (EXHIBIT C) The March 20, 2013 surgery of Mesh implantation went smoothly (EXHIBIT A). “The hernia was mobilized removing it from surrounding tissues. The hernia was then opened and Dr. Kappelman noted it contained preperitoneal fat. The

The peritoneum is a membrane located in the ventral body cavity. It surrounds the abdominal digestive viscera. The three structures of the peritoneum include the mesentery, the greater omentum and the lesser omentum. When the peritonemeum is inflamed this is called peritonitis.

5. Sperm complete development within each epididymis, which is closely attached to each testis. MULTIPLE CHOICE 1. c 2. c 3.

This patient presented to the emergency department (ED) with pain in his upper right quadrant and flank. He reported experiencing abdominal distention

On 2-10-15, Neurologist, Dr. Johnson documented Mr. Durland complained of hemorrhoids, difficulty with bowel movements, a change in bowel habits, urgency, and rectal pain. Dr. Johnson documented that Mr. Durland’s PCP examined him, as well as a proctologist, urologist, neurosurgeon, GI physician, and a pain management physician. Dr. Johnson documented that Mr. Durland had various test and procedures, rectal exams, and no one had ever found anything. Dr. Johnson documented that Mr. Durland’s pain was perirectal/perineum and burning, occasionally he had pains down the medial aspect of both legs, right greater than left, and along the medial right thigh region. Mr. Durland complained that when it had "flared up" it was hard for him to sit and he had to lay or sit on his side because his perineum region was so tender. Mr. Durland denied numbness, was able to get erections, could ejaculate, and described the pain as being internal. Dr. Johnson documented that Mr. Durland did not have any radicular components to his pain. Mr. Durland stated that for the most part the pain was stable but did fluctuate and it was worse when he sat. Mr. Durland stated that his lumbar spinal injection had helped his pain to some degree. Dr. Johnson documented that Mr. Durland stated he had no previous lumbar spine problems. Dr. Johnson documented that Mr. Durland admitted to having a history of neck pain and migraine headaches which his primary care physician was treating with medication.

Make a drawing of your dissected earthworm. As you identify the structures listed below, label them in your drawing. Identify the following digestive structures: Pharynx - A thick-walled structure in the area of segments four and seven Esophagus - The structure that extends from the pharynx to about segment fourteen Crop - A bulge just posterior of the esophagus Gizzard - The structure posterior to the crop Intestine - The structure that extends from the gizzard to the anus Seminal Vesicles - The larger structures on either side of the esophagus Seminal Receptacles - The smaller structures on either side of the esophagus Review the functions of these structures as described in the text. Identify the following circulatory system

The Female Reproductive System structures are the egg / ovum. Its created and stored inside the ovaries. The vagina is an elastic, muscular tube that connects the cervix of the uterus to the exterior of the body. The uterus is a hollow, muscular, pear-shaped organ located posterior and superior to urinary bladder. The Fallopian tubes are a pair of muscular tubes that extends from the left and right superior corners of the uterus to the edge of the ovaries. The ovaries are a pair of small glands about the size

I chose to respond to Innocents Abroad because I have, and I feel other people would respond similar to how the author did. He mentioned touching his testical often hoping that the swelling had gone away and everything was fine. After seeing two different physicians and not having the issue resolved the author mentions he became more scarred, in his words a whimpering wreck. I’m sure he felt scarred because at this point he knew it was a serious issue he was faced with dealing with. He turned to his friends for reassurance and advice; It seems to me we all lean on our friends and family when faced with tough issues. Once he had a confident team working with him he mentions being a player in his treatment: Active in his own healing and being

Unique and pioneering surgical technique for Hernia operation which reduced the suffering of the patients and led to rapid

It is used to indicate the distance between the gas bubble within the terminal colon and the perineal skin. Use of bony landmarks on the pelvic x-ray allows the clinician to relate the gas bubble to the origin of the levator ani and the apex of the levator sphincter muscle complex near the lower point of the ischium. By determining the pubococcygeal line (PC line) and the ischial (I) and by comparing the relation of the gas bubble in an ARM to the PC line is the essential factor to determine whether the blind pouch is above or below the attachment of levator ani to the pelvic wall.