Sarah Carney & M. Chowdhury FY1 CMFT 5 th Yr Finals Revision Day. Hernias & Stomas: OSCE Finals. Predisposing factors and Presentation:. Predisposing factors: Chronic cough (smoking) Chronic constipation Straining to pass faeces Straining to void Obesity Increasing age Surgery
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Deep inguinal ring: hole in transversalis fascia (midpoint of the inguinal ligament)
Superficial ring: hole in external aponeurosis, found above and medial to pubic tubercle