By Eli D. Ehrenpreis MD, Eli D. Ehrenpreis MD (auth.), Eli D. Ehrenpreis, Shmuel Avital, Mark Singer (eds.)
Anal and Rectal ailments: A Concise guide offers a succinct reference at the topic for clinicians, together with fundamental care physicians, gastroenterologists, common surgeons, physician's assistants and nurse practitioners. offered in a constant structural type that offers either a basic precis of person themes in the box in addition to extra information to help people with a few historical past wisdom within the topic sector, this convenient quantity offers info with regards to the sphere of anorectal affliction in a layout that's simply available for speedy acquisition of data. every one subject is printed in a multidisciplinary style with the clinical, surgical, and pathological points truly specific in each one part. each one part essentially describes the with up to date administration directions and invaluable scientific pearls. the amount positive factors top of the range illustrations within the type of based hand drawn figures, tables, images of actual findings, endoscopic unearths and radiographs. The medical pictures and x-rays may be of significant worth to gastroenterologists whose uniqueness isn't really coloproctology. Chapters on automatic tomographic colography (virtual colonoscopy) and others conceal the more moderen applied sciences hired for diagnostic reasons in those ailments. Anal and Rectal ailments: A Concise guide offers clinicians with a device for quick session for direct sufferer care and management.
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Extra info for Anal and Rectal Diseases: A Concise Manual
Relative Contraindications Suspected acute abdomen, debilitated patient, or anal stenosis. Preparation of Patient Patient reassurance is mandatory. Generally, no preparation is required for the procedure, although an enema may be used if necessary. 2 Diagnostic Procedures 19 How the Procedure Is Performed The patient is placed in a left lateral position. A local anesthetic may be applied to the anal region. A digital examination is performed after lubrication of the gloved finger. The anoscope or proctoscope is lubricated and placed gently into the anus.
22 Sigmoid colonic polyp demonstrated on flexible sigmoidoscopy In patients with diarrhea caused by a suspected infection, fecal material may be suctioned and collected for culture, and ova, parasite, and C. difficile toxin PCR evaluation. Retroflexion of the sigmoidoscope in the distal rectum allows visualization of the proximal anal canal and the dentate line. This is particularly useful for looking at internal hemorrhoids and high anal canal lesions. The retroflexed view is also useful for finding polyps in the distal rectum (see Fig.
It has a suction channel to remove fecal material for analysis and a biopsy channel to obtain mucosal specimens for histologic analysis. Indications Rectal bleeding, rectal mass, colitis, diarrhea, screening for colon cancer (in combination with stool Hemoccult® fecal blood testing), surveillance of patients with an ileoanal pouch, fecal incontinence (in combination with other studies), constipation (in combination with other studies), or screening of patients with a family history of familial polyposis syndromes.