1 What aspect of the initial patient encounter is most important in the diagnosis of anorectal disease? A careful history of anal complaints can point to the correct diagnosis even before completion of a physical exam. It is important to…
1 What clinical entities encompass the diagnosis of inflammatory bowel disease (IBD)? Crohn’s disease (CD) and ulcerative colitis (UC). A third entity called indeterminate colitis describes the situation when the clinical or pathologic features do not entirely fit the criteria…
1 Name three mechanisms of bowel obstruction, and give examples and incidence of each type a. Extrinsic compression: Adhesions (60%), malignancy (20%), hernias (10%), volvulus and others (5%). b. Internal blockage of the lumen by abnormal materials (obturation): Bezoars, gallstones,…
Colon Trauma 1 How do most colon injuries occur? Nearly all (>95%) colon injuries are caused by penetrating trauma from a gunshot, a stab wound, an iatrogenic injury, or a sexual injury. Blunt colonic trauma is rare and usually results…