need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME 21 Answers

nbme21/Block 4/Question#47 (reveal difficulty score)
While lifting weights, a 24-year-old man ...
Strangulation ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +12  upvote downvote
submitted by โˆ—lilmonkey(63)
get full access to all contentpick a username

There is nothing indicating that this is a femoral hernia. It could be any type of hernia in the inguinal region (femoral, direct of indirect inguinal). No need to overthink: symptoms of incarceration, piece of dead bowel - strangulation, done, keep going.

get full access to all contentpick a username
jhan17  https://www.youtube.com/watch?v=Wb3q3S_Vj0A great video explaining this +



 +3  upvote downvote
submitted by โˆ—coolcatac(19)
get full access to all contentpick a username

Femoral Hernia- More likely to present with incarcerations strangulation than inguinal hernias. Strangulation cuts off blood flow which results in ischemia and necrosis (pain/red/swollen), and incarceration results in bowel being trapped in hernia

get full access to all contentpick a username



 +3  upvote downvote
submitted by โˆ—pparalpha(93)
get full access to all contentpick a username

The inguinal part of the question points you to a a femoral hernia

Femoral hernia: uncommon type of inguinal hernia, in which intra-abdominal contents (in this case the small bowel) herniate into the femoral canal through the femoral ring

The image: strangulation: ischemic necrosis of contents within the hernia sac as blood flow is compromised due to incarceration (irreducible femoral hernia due to trapped hernia contents in hernia sac)

So, in short: femoral hernia can lead to a complication called incarceration which can lead to strangulation

get full access to all contentpick a username
madojo  Femoral hernia's are more common in women, i don't think this was a femoral hernia, either way any type of hernia can under strangulation. +



Must-See Comments from nbme21

nosancuck on Absorption atelectasis
assoplasty on Free T4
seagull on GM2
lnsetick on Apocrine
niboonsh on NMDA receptors are blocked by Mg2+ at the ...
drdoom on Deletion of a hydrophobic amino acid ...
hayayah on HCO3โˆ’ transported in the plasma
mcl on Aortic
notadoctor on Usual interstitial pneumonitis
madojo on Genital herpes
hungrybox on Obstruction of the bile duct
jambo2222 on Lung
hungrybox on Mismatch repair
hungrybox on Hydrochlorothiazide

search for anything NEW!