Assessing Ventral Hernias

Ventral hernias are hernias in the abdominal wall exclusive of groin hernias. If you suspect but do not see an umbilical or incisional hernia, ask the patient to raise both head and shoulders off the table.

The bulge of a hernia will usually appear with this action (see p. 360).

Inguinal and femoral hernias are discussed in the next chapter. They can give The cause of intestinal obstruction rise to important abdominal problems and must not be overlooked. or peritonitis may be missed by overlooking a strangulated femoral hernia.

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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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