Theme:Hernia Management

A	Abdominal ultrasound scan
B	Chest x ray
C	Coagulation screen
D	Hepatitis serology
E	No investigation
F	Sickle cell testing
G	Treponema serology
H	Urea and elecrolytes

The following patients have all presented with hernias.

Please choose the most appropriate investigations from the list.

A 24-year-old Caucasian man presents with a right groin swelling of three months' duration. He is otherwise fit, takes regular exercise and has no past medical history of note. His clinical examination is unremarkable aside from confirmation of his hernia.

Please select an optionAbdominal ultrasound scanChest x rayCoagulation screenHepatitis serologyNo investigationSickle cell testingTreponema serologyUrea and elecrolytes

A 20-year-old Afro-Caribbean man with bilateral inguinal hernias. His haemoglobin count is 11 gm/dl with a normocytic normochromic pattern.

Please select an optionAbdominal ultrasound scanChest x rayCoagulation screenHepatitis serologyNo investigationSickle cell testingTreponema serologyUrea and elecrolytes

A 28-year-old man is admitted for the repair of a left inguinal hernia. He regularly uses recreational drugs administered intravenously.

Please select an optionAbdominal ultrasound scanChest x rayCoagulation screenHepatitis serologyNo investigationSickle cell testingTreponema serologyUrea and elecrolytes

A 20-year-old woman is to undergo right femoral hernia. She previously had severe bleeding after a dental extraction.

Please select an optionAbdominal ultrasound scanChest x rayCoagulation screenHepatitis serologyNo investigationSickle cell testingTreponema serologyUrea and elecrolytes