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Hernia

  • Dx lab

    • CT or US if pregnant
  • Tx

    • make NPO, can attempt to reduce in ED
    • Surgical consult
    • if perforation or strangulation: cefoxitin 2 g IV or pipercillin/tazobactam 3.375 g IV
    • for umbilical hernia:
      • if age < 4, uncomplicated, can d/c with f/u PCP
      • surg consult if age > 4 or diameter > 2 cm

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