JAAPA : official journal of the American Academy of Physician Assistants
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Femoral hernias occur in about 3% of all abdominal wall hernias. Herniation of the appendix through a femoral hernia (called de Garengeot hernia) is a much rarer finding, occurring in 0.8% to 1% of all cases. This unique surgical finding is most often found intraoperatively due to the similarities it shares with an irreducible inguinal or femoral hernia that requires emergent surgical intervention. When evaluating a patient with a persistent groin lump, consider de Garengeot hernia in the differential diagnosis.
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Review Case Reports
A persistent cough related to aspiration of a nonradiopaque bone.
Aspiration of a foreign body by an adult often is not diagnosed until a month or more after the event, because of a lack of presenting symptoms indicative of an aspiration and low reliability, sensitivity, and specificity of plain film radiographs. Instead, the foreign body aspiration typically is diagnosed during the evaluation of other lung-related pathology.
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Brown recluse spiders are one of two types of spiders in the United States that can cause significant tissue damage and, in rare cases, death. Brown recluse spider bites are most often benign and self-limiting, but in a few cases can cause severe necrotic skin lesions.