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相关概念视频

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
63
Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
414
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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结直肠线炎病例系列:一个不常见的实体.

Pablo Del Val-Ruíz1, Daniel Fernández-Martínez2, Beatriz Carrasco-Aguilera1

  • 1Unit of Coloproctology, Department of General and Digestive Surgery, Hospital Universitario Central de Asturias, Oviedo, Spain.

International journal of surgery case reports
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PubMed
概括

直肠的塑性线性炎 (LP) 是一种罕见的疾病,具有非特异性症状. 由于微妙的内镜发现和不确定的活检,诊断具有挑战性,尽管化疗,但往往导致预后不佳.

关键词:
转移性乳腺癌癌的发生.前列腺腺癌前列腺腺癌.结直肠线性炎 结直肠线性炎这是直肠转移的转移.

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科学领域:

  • 胃肠病学 胃肠病学
  • 在瘤学瘤学.
  • 病理学 病理学 病理学

背景情况:

  • 塑性线膜炎 (LP) 是一种罕见的疾病,涉及恶性细胞扩散透到空心器官的粘膜下和肌肉自身层.
  • 肠直肠LP由于其罕见性和非特异性临床表现而特别存在诊断挑战.

研究的目的:

  • 突出诊断挑战和与直肠线膜炎塑性相关的不良预后.
  • 审查临床表现,诊断方式和直肠LP的管理.

主要方法:

  • 一系列病例涉及三名患有直肠塑性线性炎的患者.
  • 诊断程序包括结肠镜检查,CT检查,MRI检查,以及组织病理学/免疫组织化学分析.
  • 治疗包括化疗,并为并发症预留了手术.

主要成果:

  • 结肠镜检查显示直肠狭窄,粘膜保留;成像显示直肠周围壁加厚.
  • 组织病理学证实了恶性细胞透到粘膜下.
  • 所有患者都接受了化疗,但经历了疾病进展,表明预后不佳.

结论:

  • 直肠LP表现出非特异性症状和特征性内镜/成像发现的子粘膜厚.
  • 确定的诊断需要组织学,但活检可以是非诊断的.
  • 晚期诊断和有限的治疗选择导致预后不佳,化疗是主要治疗方法.