A VACTERL workup is recommended for any patient with an anorectal malformation, including perineal groove, because the tests are non-invasive and stratifying workup by severity leads to system errors and confusion.
Perineal groove is probably the most minor part of the anorectal malformation spectrum, based on observation of 2-3 cases in association with either perineal fistula or rectovaginal fistula, occurring more than random chance would suggest.
quoteI think it's to do with the fact that barbers were the um forerunner uh of uh of surgeons, so over here anyway, doctors were doctors and the surgeons came from barbers↗
▶Ep 43 · 0:52
clinicalIn the UK, surgeons are addressed as 'Mr.' rather than 'Dr.' because barbers were the forerunners of surgeons, while doctors were a separate profession.↗
▶Ep 43 · 0:52
quoteI think it's to do with the fact that barbers were the um forerunner uh of uh of surgeons, so over here anyway, doctors were doctors and the surgeons came from barbers↗
▶Ep 43 · 0:52
clinicalIn the UK, surgeons are addressed as 'Mr.' rather than 'Dr.' because barbers were the forerunners of surgeons, while doctors were a separate profession.↗
▶Ep 43 · 1:31
quoteit's an important part of our mandatory training, um, we, we do it Tuesdays, uh, every other week, um, but never miss, never miss that.↗
▶Ep 43 · 1:31
quoteit's an important part of our mandatory training, um, we, we do it Tuesdays, uh, every other week, um, but never miss, never miss that.↗
▶Ep 43 · 7:43
opinionVisual inspection ('eyeballing') is reliable for assessing anal position and presence of perineal body; measurements can be difficult in wriggling babies and it's hard to define the center and measurement points reliably.↗
▶Ep 43 · 7:43
opinionVisual inspection ('eyeballing') is reliable for assessing anal position and presence of perineal body; measurements can be difficult in wriggling babies and it's hard to define the center and measurement points reliably.↗
▶Ep 43 · 12:22
clinicalAccording to John Hudson, you do not get a morphological abnormality (like cloaca) in association with an endocrinological abnormality (DSD) in the same patient.↗
▶Ep 43 · 13:56
epidemiologicalPerineal groove is not a common diagnosis, but there is a sense that it is being seen more often than in the past.↗
▶Ep 43 · 13:56
epidemiologicalPerineal groove is not a common diagnosis, but there is a sense that it is being seen more often than in the past.↗
▶Ep 43 · 14:25
clinicalPerineal groove has been misdiagnosed as perianal fissure, perineal trauma, non-accidental injury (NAI), dermatitis, or infection; if you haven't seen it before, it's hard to spot.↗
▶Ep 43 · 14:25
clinicalPerineal groove has been misdiagnosed as perianal fissure, perineal trauma, non-accidental injury (NAI), dermatitis, or infection; if you haven't seen it before, it's hard to spot.↗
▶Ep 43 · 16:04
opinionEd Kiely's principle: 'What is it that you think you're doing?' should be applied any time there's grayness in clinical decision-making, considering what you're trying to achieve and on whose behalf.↗
clinicalWhen repairing a perineal fistula that coexists with a perineal groove, the mucosal trough is excised at the same time.↗
▶Ep 43 · 18:45
clinicalWhen repairing a perineal fistula that coexists with a perineal groove, the mucosal trough is excised at the same time.↗
▶Ep 43 · 21:09
clinicalPerineal groove is probably the most minor part of the anorectal malformation spectrum, based on observation of 2-3 cases in association with either perineal fistula or rectovaginal fistula, occurring more than random chance would suggest.↗
▶Ep 43 · 21:09
clinicalPerineal groove is probably the most minor part of the anorectal malformation spectrum, based on observation of 2-3 cases in association with either perineal fistula or rectovaginal fistula, occurring more than random chance would suggest.↗
▶Ep 43 · 21:44
guidelineA VACTERL workup is recommended for any patient with an anorectal malformation, including perineal groove, because the tests are non-invasive and stratifying workup by severity leads to system errors and confusion.↗
▶Ep 43 · 21:44
guidelineA VACTERL workup is recommended for any patient with an anorectal malformation, including perineal groove, because the tests are non-invasive and stratifying workup by severity leads to system errors and confusion.↗
▶Ep 43 · 22:25
clinicalSpinal ultrasound should be performed within a reasonable time period (institution-dependent) because if not done early and a question about tethered cord arises later, it cannot be answered.↗
▶Ep 43 · 22:25
clinicalSpinal ultrasound should be performed within a reasonable time period (institution-dependent) because if not done early and a question about tethered cord arises later, it cannot be answered.↗
clinicalIn the UK, surgeons are addressed as 'Mr.' rather than 'Dr.' because barbers were the forerunners of surgeons, while doctors were a separate profession.↗
▶Ep 114 · 0:52
quoteI think it's to do with the fact that barbers were the um forerunner uh of uh of surgeons, so over here anyway, doctors were doctors and the surgeons came from barbers↗
▶Ep 114 · 0:52
quoteI think it's to do with the fact that barbers were the um forerunner uh of uh of surgeons, so over here anyway, doctors were doctors and the surgeons came from barbers↗
▶Ep 114 · 0:52
clinicalIn the UK, surgeons are addressed as 'Mr.' rather than 'Dr.' because barbers were the forerunners of surgeons, while doctors were a separate profession.↗
▶Ep 114 · 1:31
quoteit's an important part of our mandatory training, um, we, we do it Tuesdays, uh, every other week, um, but never miss, never miss that.↗
▶Ep 114 · 1:31
quoteit's an important part of our mandatory training, um, we, we do it Tuesdays, uh, every other week, um, but never miss, never miss that.↗
▶Ep 114 · 7:43
opinionVisual inspection ('eyeballing') is reliable for assessing anal position and presence of perineal body; measurements can be difficult in wriggling babies and it's hard to define the center and measurement points reliably.↗
▶Ep 114 · 7:43
opinionVisual inspection ('eyeballing') is reliable for assessing anal position and presence of perineal body; measurements can be difficult in wriggling babies and it's hard to define the center and measurement points reliably.↗
▶Ep 114 · 12:22
clinicalAccording to John Hudson, you do not get a morphological abnormality (like cloaca) in association with an endocrinological abnormality (DSD) in the same patient.↗
▶Ep 114 · 13:56
epidemiologicalPerineal groove is not a common diagnosis, but there is a sense that it is being seen more often than in the past.↗
▶Ep 114 · 13:56
epidemiologicalPerineal groove is not a common diagnosis, but there is a sense that it is being seen more often than in the past.↗
▶Ep 114 · 14:25
clinicalPerineal groove has been misdiagnosed as perianal fissure, perineal trauma, non-accidental injury (NAI), dermatitis, or infection; if you haven't seen it before, it's hard to spot.↗
▶Ep 114 · 14:25
clinicalPerineal groove has been misdiagnosed as perianal fissure, perineal trauma, non-accidental injury (NAI), dermatitis, or infection; if you haven't seen it before, it's hard to spot.↗
▶Ep 114 · 16:04
opinionEd Kiely's principle: 'What is it that you think you're doing?' should be applied any time there's grayness in clinical decision-making, considering what you're trying to achieve and on whose behalf.↗
clinicalWhen repairing a perineal fistula that coexists with a perineal groove, the mucosal trough is excised at the same time.↗
▶Ep 114 · 18:45
clinicalWhen repairing a perineal fistula that coexists with a perineal groove, the mucosal trough is excised at the same time.↗
▶Ep 114 · 21:09
clinicalPerineal groove is probably the most minor part of the anorectal malformation spectrum, based on observation of 2-3 cases in association with either perineal fistula or rectovaginal fistula, occurring more than random chance would suggest.↗
▶Ep 114 · 21:09
clinicalPerineal groove is probably the most minor part of the anorectal malformation spectrum, based on observation of 2-3 cases in association with either perineal fistula or rectovaginal fistula, occurring more than random chance would suggest.↗
▶Ep 114 · 21:44
guidelineA VACTERL workup is recommended for any patient with an anorectal malformation, including perineal groove, because the tests are non-invasive and stratifying workup by severity leads to system errors and confusion.↗
▶Ep 114 · 21:44
guidelineA VACTERL workup is recommended for any patient with an anorectal malformation, including perineal groove, because the tests are non-invasive and stratifying workup by severity leads to system errors and confusion.↗
▶Ep 114 · 22:25
clinicalSpinal ultrasound should be performed within a reasonable time period (institution-dependent) because if not done early and a question about tethered cord arises later, it cannot be answered.↗
▶Ep 114 · 22:25
clinicalSpinal ultrasound should be performed within a reasonable time period (institution-dependent) because if not done early and a question about tethered cord arises later, it cannot be answered.↗
host summaryJonathan Sutcliffe summarizing a resource: According to John Hudson, you do not get a morphological abnormality (like cloaca) in association with an endocrinological abnormality (DSD) in the same patient.↗
▶Ep 43 · 16:04
host summaryJonathan Sutcliffe summarizing a resource: Ed Kiely's principle: 'What is it that you think you're doing?' should be applied any time there's grayness in clinical decision-making, considering what you're trying to achieve and on whose behalf.↗
▶Ep 43 · 16:17
host summaryJonathan Sutcliffe summarizing a resource: what is it that you think you're doing↗
Summaries Jonathan gave as host · Colorectal / ARM & Hirschsprung3 summaries
host summaryJonathan Sutcliffe summarizing a resource: According to John Hudson, you do not get a morphological abnormality (like cloaca) in association with an endocrinological abnormality (DSD) in the same patient.↗
▶Ep 114 · 16:04
host summaryJonathan Sutcliffe summarizing a resource: Ed Kiely's principle: 'What is it that you think you're doing?' should be applied any time there's grayness in clinical decision-making, considering what you're trying to achieve and on whose behalf.↗
▶Ep 114 · 16:17
host summaryJonathan Sutcliffe summarizing a resource: what is it that you think you're doing↗
