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相关概念视频

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

1.0K
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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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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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...
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Fetal Circulation01:14

Fetal Circulation

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Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Smooth Endoplasmic Reticulum01:21

Smooth Endoplasmic Reticulum

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Smooth endoplasmic reticulum or smooth ER is a sub-organelle with specialized functions in animal cells and plant cells. It is often associated with the tubule morphology of the endoplasmic reticulum.
The ER provides optimal conditions for synthesizing steroid hormones and lipids, such as phospholipids and triglycerides. Traditionally, lipid metabolism was considered to be a smooth ER function. However, there is no direct evidence to prove that rough ER is completely excluded from lipid...
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相关实验视频

Updated: Jan 9, 2026

Rectal Organoid Morphology Analysis ROMA: A Diagnostic Assay in Cystic Fibrosis
07:56

Rectal Organoid Morphology Analysis ROMA: A Diagnostic Assay in Cystic Fibrosis

Published on: June 10, 2022

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胎儿直肠扩张的转诊:很少是一个病理实体.

Emily M Scire, Judy A Estroff, Carol E Barnewolt

    Fetal diagnosis and therapy
    |December 5, 2025
    PubMed
    概括

    扩大结肠或直肠的胎儿成像通常不表明严重的疾病,如直肠形 (ARM) 或希尔施普朗格.

    科学领域:

    • 胎儿医学 胎儿医学
    • 儿科手术 儿科手术
    • 诊断成像 诊断成像 诊断成像

    背景情况:

    • 在产前成像中,胎儿大肠或直肠的扩张可能表明直肠形 (ARM) 或希尔施普朗格病 (HD).
    • 准确的产前诊断对于及时干预和改善新生儿结果至关重要.

    研究的目的:

    • 评估胎儿在超声波 (US) 和磁共振成像 (MRI) 上的直肠/结肠扩张和产后远部肠道异常之间的关联.
    • 根据特定的胎儿成像发现,开发一种用于诊断直肠形 (ARM) 的风险评分.

    主要方法:

    • 关于怀孕妇女的回顾性分析,涉及怀疑胎儿直肠/结肠扩张在2006-2024年期间.
    • 胎儿US和MRI发现与新生儿结局的比较.
    • 单变量分析,以确定产后偏肠异常的显著预测因子,并制定风险评分.

    主要成果:

    • 38.2%的患者有正常的成像; 61.7%显示持续的胎儿结肠/直肠突出或扩张.
    • 七个大肠膨胀的男性胎儿被诊断出没有穿孔的门;没有一个患有赫施普朗格病 (HD).
    • 结合8个变量的风险评分表明,在队列中诊断ARM的灵敏度和特异性为100%.

    结论:

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    • 扩大结肠/直肠的胎儿成像发现很少与病理有关.
    • 当有针对性的胎儿成像缺乏病理学预测特征时,家庭和提供者可以放心.
    • 开发的风险评分有助于准确的产前诊断直肠形.