Coloproctology: Diagnosis and Outpatient Management |
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Page 15
... abnormal perineal descent ( Fig . 2.3c ) . Normally the anal orifice lies about 2-3 cm above the ischial tuberosities . If , at rest , it lies level with the ischial tuberosities or , on straining , descends more than 1 cm below them ...
... abnormal perineal descent ( Fig . 2.3c ) . Normally the anal orifice lies about 2-3 cm above the ischial tuberosities . If , at rest , it lies level with the ischial tuberosities or , on straining , descends more than 1 cm below them ...
Page 66
... abnormalities and many have symptoms typical of the irritable bowel syndrome . They may also complain of difficulty in evacuation and have abnormal perineal descent . The cause of the pain is unknown . Examination INSPECTION . A ...
... abnormalities and many have symptoms typical of the irritable bowel syndrome . They may also complain of difficulty in evacuation and have abnormal perineal descent . The cause of the pain is unknown . Examination INSPECTION . A ...
Page 127
... abnormal descent of the perineum on bearing down has been defined , in whom a disorder of defaecation appears to be the initiating factor . Incomplete or difficult evacuation may cause the patient to strain leading to a prolonged reflex ...
... abnormal descent of the perineum on bearing down has been defined , in whom a disorder of defaecation appears to be the initiating factor . Incomplete or difficult evacuation may cause the patient to strain leading to a prolonged reflex ...
Contents
The Rectal Clinic | 1 |
Examination | 11 |
Special Investigations | 33 |
Copyright | |
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abdominal abnormal abscess acute adenoma anaesthetic anal canal anal sphincter anal verge anorectal anus assessment barium enema barium enema examination biopsy bleeding blood carcinoma cause chronic colonoscopy colorectal colostomy constipation Crohn's disease defaecation diarrhoea digital examination dilatation disorders distension diverticular disease drugs endoscopy excision external sphincter faecal faeces fistula fistula-in-ano flexible sigmoidoscopy haemorrhoidectomy haemorrhoids histological identified ileostomy incontinence indicated induration infection inflammation inflammatory bowel disease instrument internal opening intersphincteric intestinal involved large bowel cancer laxatives levator localised lumen malignant megacolon mucosa mucus muscle neoplasm normal occur operation pain palpation patients pelvic floor perianal skin perineum polyps present primary track proctitis proctoscopy produce Pruritus puborectalis radiotherapy rectal clinic rectal prolapse rectum recurrence reflex resection rigid sigmoidoscopy rubber band ligation sigmoid colon small bowel solitary ulcer specimen sphincterotomy steroids stool straining Surg surgery surgical symptoms Table thrombosed tissue treatment tumour ulcerative colitis usually varyx voluntary contraction