X-ray plain films are far behind the times compared with CT magnetic resonance and so on.
As I just said, the abdominal
.
To accurately know this distance, you can use B-ultrasound. Based on the principle that meconium is a low-echoic mass and the soft tissue of the pelvic floor is a strong echogenic mass, using B-ultrasound to measure the distance between the meconium in the intestine and the soft tissue of the pelvic floor can roughly determine the rectal distance.
How far is the anus? If you want to further determine the development of the anal sphincter, do an MRI.
Magnetic resonance imaging is not used in general cases because it is too expensive.
Through Xie's addition, several students went back to check the B-ultrasound report, and basically concluded that it was median anal atresia. A more accurate point is lower median anal atresia. This is different from what Pan had previously relied on X-ray blur alone.
The judgment is a bit wrong.
Classmate Xie Wanying said again: "Actually, the classification of the disease, the higher and lower positions, are more about family members. Academically, this classification method is not very accurate."
Doctors can only start from the simplest explanations to family members. When it comes to complexity, many family members simply don’t understand and don’t have the patience to listen. This is also why the doctors’ academic conferences mentioned last time are often held behind closed doors. Can’t you listen?
It would be better not to listen to what I understand if it sounds confusing to you.
It won't work without an explanation. The law stipulates that the child's guardian must be given an explanation of the child's condition.
After classmate Lin Hao and classmate Pan turned to look at classmate Xie, their hearts twitched: It's over, they couldn't keep up with classmate Xie's rhythm again.
On the one hand, the update of knowledge in medical textbooks lags behind that of real medicine and is a reoccurring topic. On the other hand, it cannot summarize everything. This is the first time it is mentioned in detail. It means that doctors and medical students not only need to obtain the latest knowledge from various latest medical journals.
To obtain medical information, we also need to have a broad and in-depth understanding of the history of medical development.
According to the international classification, in addition to being divided into high, middle and low grades, each type of disease needs to be subdivided into non-fistula and fistula. Because male and female reproductive organs are different, men and women need to be subdivided.
Here is another benefit of doing B-ultrasound examination for this disease: from the academic classification, we can know that this disease is often complicated by genitourinary malformations, and urinary tract ultrasound examination and cardiac ultrasound screening are routinely done, which can be done together.
I did it in the B-ultrasound room.
How important accurate clinical classification is to doctors has been mentioned often before and will not be repeated. In this regard, as a fresh graduate, Xie has great advantages in dimensionality reduction, which is unmatched by other students and even teachers.
I just heard classmate Xie say: "This disease can not be classified according to high, middle or low position. It can be divided directly according to fistula. Anyway, perineal fistula and anal stenosis are often seen in low-position deformities, urethral bulb, partial anal atresia without fistula, and most rectal scaphoids.
Fossa fistula and rectal fistula are mid-position deformities, while prostatic fistula and bladder fistula are high-position deformities. It is more convenient to classify the deformities directly. The surgical method should be considered according to the combined deformity rather than simply high, medium and low. It is better to be too high, medium and low.
Division and deformity complicate things.”
Other teachers looked at Dr. Wu Manzhong one after another.
Classmates Lin Hao and Pan witnessed the expressions of the teachers on the spot, and finally found a comforting sense of balance in their hearts. It seemed that they were not the only ones who couldn't keep up with Xie's rhythm.
－－－－－－Digression－－－－－
Thank you for your support!!! Good night, dear friends~ I really can’t do anything today. Sorry, I have had a rash in the past few days. I have a slight fever today. I will resume the sixth update tomorrow.
