Anorectal Malformations

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[size=20px]A 6-week-old female with vestibular fistula has two normal kidneys and normal sacrum, and cystoscopy and vaginoscopy showed a vaginal septum. She had a primary PSARP done a few hours ago. What is your plan for her to recommence feeding? A. ​NPO for 24 hours, then feed B. ​NPO for 7 days, keep the patient on hyperalimentation, then feed C.​ Feed immediately after recovery from anesthesia D.​ Clear liquids or breast milk for 5 days, then feed[/size]

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You were asked for you opinion about this distal colostogram. What is the diagnosis and what would be the surgical approach for this patient? a- rectoprostatic fistula, posterior sagittal approach only b- no fistula, posterior sagittal approach only c- recto-bladder neck fistula, posterior sagittal approach only d- rectoprostatic fistula, laparotomy/ laparoscopy and posterior sagittal approach e- recto-bladder neck fistula, laparotomy/ laparoscopy and posterior sagittal approach

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[center]Cloacal endoscopy. See video in 2nd post[/center]

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[size=20px]A six-month old male is referred for evaluation of constipation and anal stenosis. Further imaging demonstrates a dysplastic sacrum and presacral mass. The father’s pelvic radiograph also shows an abnormal sacrum. His parents inquire about the likelihood of having more children with this anomaly. You advise that genetic transmission of this anomaly with anal stenosis is A autosomal dominant (50%). B very unlikely (less than one percent). C autosomal recessive (25%). D Y-linked. E X-linked.[/size]

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A 4-month male with imperforate anus who had a descending colostomy at birth is being scheduled for a PSARP. The colostogram shown below demonstrates a high rectum and no fistula. [size=20px]The most appropriate next step is: A Repeat pressure colostogram B PSARP only C Laparoscopic assisted pull through D Open abdominal mobilization with PSARP[/size]

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Any one want a high quality PDF of this chart, post in this thread and use a personalized picture as an avatar, I will send it to you in a private message Edit: available without restrictions

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