Cauda Equina in elderly with severe stenosis
Did an SIJ on an 86 yo patient last month who also has severe L3-4, L4-5 CCS. Called me a few days later complaining of saddle anesthesia (can't feel toilet paper when wiping) and new right lower extremity weakness. No b/b incontinence. Instructed pt to go to ED for suspected CES likely due to prone positioning. Pt overwhelmed and wanted me to convey to daughter which I did. Don't think they went. Have not seen since.
Pt coming in tomorrow for scheduled f/u. Assuming Cauda Equina symptoms...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 13, 2023 Category: Universities & Medical Training Authors: oneforfighting Tags: Pain Medicine Source Type: forums
Gastroentrologist Jobs
Locum - Physician - Gastroenterologist Pittsfield, MA
This will be an ongoing assignment
Patient Volume: 5-10 consults per day, 5-10 procedures per day (during the week). A few patients and occasional procedures on weekends.
Travel/lodging is reimbursable
We provide treatment for all digestive diseases and conditions including:
• Digestive tract bleeding
• Celiac disease
• Colitis
• Colon polyps
• Crohns
• Incontinence
• Gallstones
• Hemochromatosis
• Hepatitis
• Irritable Bowel...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 26, 2021 Category: Universities & Medical Training Authors: amani1 Tags: Gastroenterology Source Type: forums
Re: Response to & #039;Effectiveness of pelvic floor muscle training with and without electromyographic biofeedback for urinary incontinence in women: multicentre randomised controlled trial & #039;
(Source: BMJ Comments)
Source: BMJ Comments - February 8, 2021 Category: General Medicine Source Type: forums
Re: Management of faecal incontinence in adults
(Source: BMJ Comments)
Source: BMJ Comments - July 8, 2019 Category: General Medicine Source Type: forums
Re: Surgical interventions for stress urinary incontinence - What about the O-shot?
(Source: BMJ Comments)
Source: BMJ Comments - June 10, 2019 Category: General Medicine Source Type: forums
Surgical interventions for women with stress urinary incontinence
(Source: BMJ Comments)
Source: BMJ Comments - June 6, 2019 Category: General Medicine Source Type: forums
Re: Female stress urinary incontinence
(Source: BMJ Comments)
Source: BMJ Comments - April 30, 2019 Category: General Medicine Source Type: forums
Colorectal ADK in 95 yo patient
Dear colleagues,
I have a 95 yo female patient, very well conserved, ambulant . No severe comorbidities.
She presented for low rectum ademocarcinoma invading partially the internal anal sphincter with no fecal incontinence.
She complains of post defecation pain and rectorrhagia.
Pelvic MRI showed no LNs.
She is not operable.
She will receive xeloda with concomitant radiation.
What would you propose as for dose and fractionation?
-45/25 with boost to small pelvis and tumor
- 25 in 5...
Colorectal ADK in 95 yo patient (Source: Student Doctor Network)
Source: Student Doctor Network - June 6, 2017 Category: Universities & Medical Training Authors: Kroll2013 Source Type: forums
NBME Peds Q really bothering me, IgA Nephropathy vs PSGN
13 year old boy was brought in for a routine well-child exam. No history of prior serious illness. During the past 2 years he's complained of brown urine whenever he's had a cold. He has no complaints of urgency, dysuria, or incontinence. PE is unremarkable. Lab studies show:
Serum:
BUN: 15
Cr: 0.9
C3 90 mg/dL (nl 83-177)
Urine:
Blood 4+
Protein 3+
A) Hemorrhagic cystitis
B) HUS
C) IgA nephropathy
D) Nephrotic Syndrome
E) PSGN
The answer is supposed to be E, but I can't seem to...
NBME Peds Q really bothering me, IgA Nephropathy vs PSGN (Source: Student Doctor Network)
Source: Student Doctor Network - October 5, 2016 Category: Universities & Medical Training Authors: pyaarawala Source Type: forums
Re: David Oliver: The forgotten problem of incontinence
(Source: BMJ Comments)
Source: BMJ Comments - July 3, 2016 Category: Journals (General) Source Type: forums
Incontinence after break up with partner? Is heartbreak that bad?
Forum: Relationships
Posted By: Anonymous
Post Time: 08-05-2016 at 23:22 (Source: The Student Room)
Source: The Student Room - May 9, 2016 Category: Universities & Medical Training Source Type: forums
Help! Sudden incontinence is this normal behaviour?
Forum: Health
Posted By: Anonymous
Post Time: 09-05-2016 at 00:12 (Source: The Student Room)
Source: The Student Room - May 9, 2016 Category: Universities & Medical Training Source Type: forums
Anticholinergic agents don’t work for urinary incontinence
(Source: BMJ Comments)
Source: BMJ Comments - December 17, 2014 Category: Journals (General) Source Type: forums
