ROSH Gastrointestinal Practice Exam

What is a common presentation of a strangulated hernia indicating nerve irritation?

1. Paresthesia

2. Severe abdominal pain

3. Fever

4. Nausea

The correct answer is: Paresthesia

A common presentation of a strangulated hernia indicating nerve irritation is paresthesia. When a hernia becomes strangulated, it means that the blood supply to the trapped tissue is compromised, which can lead to nerve compression or irritation. This condition can result in abnormal sensations such as tingling, numbness, or a "pins and needles" feeling, which are collectively known as paresthesia. The presence of paresthesia is a critical sign that nerves are being affected, which can warn clinicians about the severity of the hernia. In cases of strangulated hernias, timely intervention is necessary to prevent further complications, such as necrosis of the affected tissue. While severe abdominal pain, fever, and nausea can also present in cases of strangulated hernias, they do not specifically indicate nerve irritation. Severe abdominal pain is often a primary symptom and indicates inflammation or other serious complications. Fever can indicate infection or systemic response but is not directly related to nerve irritation. Nausea may occur due to various reasons, including pain or bowel obstruction, but does not specifically point to nerve involvement.