Anorectal Malformations
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see video link in second post
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see video link in second post
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You are called to the nursery to consult on a newborn described to have ambiguous "genitalia". On exam you find a mobile lower abdominal mass and the perineum as seen in the Figures. [center] [/center] [size=20px]Based on your physical exam findings the most likely diagnosis is A vaginal atresia B urogenital sinus C congenital adrenal hyperplasia D imperforate anus with rectovaginal fistula E cloaca[/size]
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see video in second post [center] Descending Colostomy for Anorectal Malformation. Dr Tamer Ashraf Wafa[/center]
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First one with correct answer win. what is the name of this anomaly ?
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A 6-year old boy with an anorectal malformation underwent colostomy, posterior sagittal anorectoplasty (PSARP), and colostomy closure in the first year of life. After his colostomy closure, he developed multiple urinary tract infections, resulting in significant renal damage and requiring renal transplantation. He continues to have urinary tract infections. What is your next step?
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A newborn baby boy presents with abdominal distension and failure to pass meconium. His abdomen is distended but soft. The anus is in normal position and the anal canal is patent, but funnel shaped. The rectum is not patent. He has no other obvious congenital anomalies. A prone lateral film is shown. How would you manage this patient?
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[size=20px]You are asked to evaluate a 5 year-old boy in clinic who underwent a posterior sagittal anorectoplasty (PSARP) for a perineal fistula as an infant. The sacral ratio was 0.75 at birth. He experiences fecal soiling multiple times per day. On physical examination, he has a well-healed PSARP with no evidence of stricture or prolapse. Abdominal x-ray shows moderate fecal loading. You recommend the following treatment plan: A Polyethylene glycol (Miralax) B Senna C Transrectal enemas D Antegrade enemas E Exam under anesthesia with sphincter mapping[/size]
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see video lecture link in second post
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