Hypernatremia - Signs And Symptoms - Menemonic

Brief Description Of Abdominal Wall Hernias

Abdominal wall hernias: 
Definition: The classical surgical definition of a hernia is the protrusion of an organ or the fascia of an organ through the wall of the cavity that normally contains it.

Risk factors for abdominal wall hernias include:

• obesity
• ascites 
• increasing age 
• surgical wounds

Clinical  Features include:

• a palpable lump 
• cough impulse 
• pain 
• obstruction: more common in femoral hernias 
• strangulation: may compromise the bowel blood supply leading to infarction 

Types of abdominal wall hernias:

1. Inguinal hernia:

• Inguinal hernias account for 75% of abdominal wall hernias. 
• Around 95% of patients are male; men have around a 25% lifetime risk of developing an inguinal hernia. 
• Above and medial to pubic tubercle Strangulation is rare

2. Femoral hernia: 

Causes Of Edema -- Charts

Toxic Epidermal Necrolysis

Toxic epidermal necrolysis (TEN) is a potentially lifethreatening skin disorder that is most commonly seen secondary to a drug reaction.
In this condition the skin develops a scalded appearance over an extensive area. Some authors consider TEN to be the severe end of a spectrum of skin disorders which includes erythema multiforme and Stevens Johnson syndrome

Clinical Features

• systemically unwell e.g. pyrexia, tachycardic
• positive Nikolsky's sign: the epidermis separates with mild lateral pressure

Drugs known to induce Toxic epidermal necrolysis (TEN)