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Imaging of anorectal disease
Imaging of anorectal disease. jpg Conventional contrast studies of the anorectal region in recent years, as recently towards more imaging procedures such as transrectal ultrasound, endoanal ultrasound, CT & MRI, all of which provide the ...
GI disorders diagnosis and treatment « UI Consult
The Center for Digestive Diseases offers the region's broadest range of GI specialty services in the diagnosis and treatment of liver, pancreatobiliary, esophagus, stomach, colon, and anorectal disorders. ...
Hemorrhoids Vs Anal Abscesses | Hemorrhoids Treatment
Anal abscesses can also come from infected anal fissures, intestinal disorders such as Crohn's disease and diverculitis and even infected hemorrhoids. Indirect causes also include diabetes, AIDS/HIV infection or a continual regimen of ...
Anorectal Disease
55 ANORECTAL DISEASE
Eric L. Sarin M.D., John B. Moore M.D.
1. What aspect of the initial patient encounter is most important in the diagnosis of anorectal disease?
Show answer
Clinical history, including duration of complaints, exacerbating or alleviating issues, precipitating events, dietary and bowel habits, and current or previous treatments. This may not sound glamorous, but you will never encounter a more grateful patient than one whose rectal problem you have solved.
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Incoming search terms
intramuscular and intersphincteric anal glands which are the site of anorectal abscesses and fistulas in ano,Anorectal Disease. Anorectal Abscess & Fistula In Ano
ANORECTAL ABSCESS AND FISTULA IN ANO
5. What is the most common cause of anorectal abscess?
Show answer
Ninety percent result from cryptoglandular infection.
6. What are the four potential anorectal spaces used to classify anorectal abscesses?
Show answer
1. Perianal (area of the anal verge)
2. Ischiorectal (area lateral to the external sphincter muscles, extending from the levator ani muscles to the perineum)
3. Intersphincteric (area between the internal and external sphincter muscles, continuous inferiorly with the perianal space and superiorly with the rectal wall)
4. Supralevator (area superior to the levator ani muscles, inferior to the peritoneum, and lateral to the rectal wall)
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, anorectal disease, purpose of a seton for a fistula in ano,Anorectal Disease. Pilonidal Sinus Disease
PILONIDAL SINUS DISEASE
29. What is the most common clinical presentation of a pilonidal sinus?
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Pain and swelling in the sacrococcygeal region, which typically are associated with a (sometimes several) chronic draining sinus tract.
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pilonidal sinus and anorectal pain,Anorectal Disease. Anal Fissure
ANAL FISSURE
14. What is the most common location for idiopathic anal fissure?
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90% are posterior, and 10% are anterior.
15. What are the most common symptoms of anal fissure?
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Tearing anal pain and bleeding with bowel movements.
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anal fissurotomy, anal fissure video, anorectal disease, chronic anal fissure operation video, f, fissure operation video, fissurotomy sphincte surgery, video operation anal, www you-tub chronic anal fissure video com, 0h, anal canal fissure digital examination eversion, anal fissure meq questions, anal fissurotomy procedure, anal fissurotomy recovery, anal fissurotomy video, anal surgery video, ano fissure plastic surgery video, fissure operation videos, fissure surgery recovery time, fissure surgery video, fissuresurgeryvideo, fissurotomy vs sphincterotomy, lateral internal sphincterotomy video, lateral internal sphincterotomy vs fissurotomy, lateral sphincterotomy video, operation of fissures vidoe, operation videos fissures, recovery time anal fissurotomy, sphincterotomy anal fissure video, video anal fissure surgery,Anorectal Disease. Hemorrhoids
HEMORRHOIDS
21. What are hemorrhoidal tissues, and what are their normal functions?
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Hemorrhoids are cushions of vascular tissue that contribute to anal continence and protect the sphincter mechanism during defecation. Hemorrhoids are not veins, but sinusoids. Bleeding originates from presinusoidal arterioles, thus explaining the bright red arterial color.
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Noninvasive Vascular Diagnostic Laboratory. Peripheral Arterial Occlusive Disease
PERIPHERAL ARTERIAL OCCLUSIVE DISEASE
11. What is the primary test for diagnosis of lower extremity ischemia?
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The ankle brachial index (ABI) or systolic pressure ratio is normally greater than or equal to 1.0. Typically, Doppler ultrasound is used (instead of a stethoscope) as the flow sensor distal to the pressure cuff, but plethysmographic instruments also may be used. Doppler signals are usually monitored at the posterior tibial artery or dorsalis pedis artery.
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function of vascular diagnostic laboratory,Thoracic Surgery For Non-Neoplastic Disease. Tuberculosis
TUBERCULOSIS
1. What are the clinical manifestations of pulmonary tuberculosis?
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They can be almost anything or nothing (it has been stated that if you know tuberculosis, you know all of medicine), but the most common symptoms and signs are chronic fever; weight loss; night sweats; and cough, sometimes with hemoptysis. Chest radiograph typically shows upper lobe infiltrates, with or without cavitation, and can be misdiagnosed as a neoplastic process. HIV-positive or immunocompromised patients usually have mediastinal adenopathy, pleural effusions, and a miliary pattern.
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mdr tb surgery, mdrtb surgical, whats neoplastic surgery,Inflammatory Bowel Disease
50 INFLAMMATORY BOWEL DISEASE
Anthony J. LaPorta M.D., Gilbert Hermann M.D.
1. What two clinical entities encompass the diagnosis of inflammatory bowel disease?
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Crohn’s disease and ulcerative colitis (acute or chronic).
2. Although the two diseases often overlap, they usually can be distinguished by clinical criteria. What are the major clinical differences?
Show answer
Rectal bleeding is unusual in Crohn’s disease but common in chronic ulcerative colitis. An abdominal mass and anal complications (fissure, fistula) are more common in Crohn’s disease.
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Noninvasive Vascular Diagnostic Laboratory. Cerebrovascular Disease
CEREBROVASCULAR DISEASE
3. Which noninvasive tests should be used to diagnose extracranial carotid artery disease?
Show answer
Duplex ultrasound has a sensitivity of 97% in detecting carotid artery disease and an accuracy of 95% in correctly classifying carotid stenoses as > 50% reduction in diameter. No other noninvasive test has comparable accuracy.
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Gastroesophageal Reflux Disease. Controversies
CONTROVERSIES
15. Is GERD better treated in the long term by PPI therapy or Nissen fundoplication?
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PPIs really work in resolving esophagitis and eliminating symptoms of GERD, but the long-term side effects are not fully known. Fundoplication potentially frees the patient from daily medicine (this has been challenged recently) and may cause morbidity in ≤ 10% of patients.
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Inflammatory Bowel Disease. Controversies
CONTROVERSIES
17. Should all patients with enteroenteral fistulas secondary to Crohn’s disease have surgery when the fistula is discovered?
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For: Such patients ultimately do poorly, develop further intraperitoneal septic complications, and almost always require surgery.
Against: Many of these patients do well without operative treatment until they develop symptoms. It is fine to wait for symptoms.
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Properties In Evaluation Of The Acute Abdomen
14 PRIORITIES IN EVALUATION OF THE ACUTE ABDOMEN
Alden H. Harken M.D.
1. What is the surgeon’s responsibility when confronted by a patient with an acute abdomen?
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1. To identify how sick the patient is
2. To determine whether the patient (a) needs to go directly to the operating room, (b) should be admitted for resuscitation or observation, or (c) can be sent safely home
Coronary Artery Disease. Controversies
CONTROVERSIES
15. Is there an advantage to surgical revascularization with all arterial conduits?
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The logical extension of the observation that an internal mammary artery has superior patency to a saphenous vein has sparked an interest in total arterial revascularization. Instead of using saphenous veins as bypass conduits, some surgeons also use the right internal mammary artery, the gastroepiploic artery, and the radial artery as bypass conduits instead of vein. Convincing data suggest a survival benefit as well as freedom from angina when the LIM artery is used as a conduit. The data supporting total arterial revascularization are much less clear.
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CAROTID DISEASE
70 CAROTID DISEASE
Rao Gutta M.D., B. Timothy Baxter M.D.
1. What diseases affect the carotid arteries?
Show answer
Atherosclerosis is by far the most common (accounting for 90% of lesions in the Western world). The carotid also can be affected by fibromuscular dysplasia, inflammatory arteriopathies (e.g., Takayasu’s arteritis), extrinsic compression (e.g., neoplasm), and trauma.
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Thoracic Surgery For Non-Neoplastic Disease. Empyema
EMPYEMA
10. What is an empyema, and what causes it?
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An empyema is a purulent (infected) effusion. Fluid or blood in the pleural space can be directly innoculated (with bugs) during surgery or trauma (33%) or by contamination from contiguous sites (50%) such as bronchopulmonary infection (most common). Most empyemas are parapneumonic, and the most commonly involved organisms are Staphylococcus aureus, enteric gram-negative bacilli, and anaerobes. Many times, infections are polymicrobial. Often there is no growth of an empyema culture because of effective antibiotic therapy or inadequate culture techniques, particularly with anaerobes.
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Abernathy’s Surgical Secrets, Updated Edition (Book w / Student Consult)
Author / s: Harken Alden H., Abernathy Charles, Moore Ernest Eugene
Year: 2004
Pages: 473
Publishers: Elsevier Mosby; 5th Bk & Acc edition
ISBN: 0323034160
