63 timestamped statements
across 4 topics
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Featured statements
▶Ep 221 · 10:40
You can note that the recto sigmoid ratio is very obviously less than one in the contrast enema on the sagittal view. And you also see in the rectum some sawtoothing that I think is indicative of not just Hirschsprung's, but Hirschsprung's associated enero colitis.
So in this patient who is presenting with signs of sepsis, we wanted to treat first and kind of ask questions later. So we started with rectal irrigations, 20 mLs per kg three times a day, and started IV flagell in addition to the other antibiotics he was on.
Trisomy 21 is associated with a higher incidence of Hirschsprung disease. I think about 50 times higher than in non-trisomy 21 patients and about 5 to 10 percent of Trisomy 21 patients have Hirschsprung disease.
I think just to map the colon. We didn't really think we were going to do the pull-through and we confirmed at the time with diagnostic laparoscopy that the colon still looked sick.
quoteOn day of life two, Pediatrics Redu was consulted because he had not yet stooled and was having non-bilious emesis with every feeding.↗
▶Ep 221 · 2:13
quoteYeah, I think it was the physical exam. The baby was very tender on exam, was erythematous over areas of the belly, was very distended.↗
▶Ep 221 · 2:58
epidemiologicalTrisomy 21 is associated with approximately 50 times higher incidence of Hirschsprung disease compared to non-trisomy 21 patients, with about 5-10% of trisomy 21 patients having Hirschsprung disease.↗
▶Ep 221 · 2:58
quoteTrisomy 21 is associated with a higher incidence of Hirschsprung disease. I think about 50 times higher than in non-trisomy 21 patients and about 5 to 10 percent of Trisomy 21 patients have Hirschsprung disease.↗
▶Ep 221 · 10:40
quoteYou can note that the recto sigmoid ratio is very obviously less than one in the contrast enema on the sagittal view. And you also see in the rectum some sawtoothing that I think is indicative of not just Hirschsprung's, but Hirschsprung's associated enero colitis.↗
▶Ep 221 · 10:40
clinicalThe rectosigmoid ratio less than one on contrast enema is indicative of Hirschsprung disease.↗
Colorectal Quiz: Episode 46
▶Ep 226 · 1:16
quoteOn day of life two, Pediatrics Redu was consulted because he had not yet stooled and was having non-bilious emesis with every feeding.↗
▶Ep 226 · 2:13
quoteYeah, I think it was the physical exam. The baby was very tender on exam, was erythematous over areas of the belly, was very distended.↗
▶Ep 226 · 2:58
quoteTrisomy 21 is associated with a higher incidence of Hirschsprung disease. I think about 50 times higher than in non-trisomy 21 patients and about 5 to 10 percent of Trisomy 21 patients have Hirschsprung disease.↗
▶Ep 226 · 2:58
epidemiologicalTrisomy 21 is associated with approximately 50 times higher incidence of Hirschsprung disease compared to non-trisomy 21 patients, with about 5-10% of trisomy 21 patients having Hirschsprung disease.↗
▶Ep 226 · 4:10
clinicalIn patients presenting with signs of sepsis and suspected Hirschsprung, the approach is to treat first with rectal irrigations (20 mL/kg three times daily) and IV metronidazole, asking questions later.↗
▶Ep 226 · 4:10
quoteSo in this patient who is presenting with signs of sepsis, we wanted to treat first and kind of ask questions later. So we started with rectal irrigations, 20 mLs per kg three times a day, and started IV flagell in addition to the other antibiotics he was on.↗
▶Ep 226 · 10:40
quoteYou can note that the recto sigmoid ratio is very obviously less than one in the contrast enema on the sagittal view. And you also see in the rectum some sawtoothing that I think is indicative of not just Hirschsprung's, but Hirschsprung's associated enero colitis.↗
▶Ep 226 · 10:40
clinicalOn contrast enema, a rectosigmoid ratio less than one is indicative of Hirschsprung disease.↗
▶Ep 226 · 11:19
quoteThe biopsy showed that there were no ganglion cells and hypertrophic nerves.↗
▶Ep 226 · 13:00
quoteI think just to map the colon. We didn't really think we were going to do the pull-through and we confirmed at the time with diagnostic laparoscopy that the colon still looked sick.↗
quoteOn day of life two, Pediatrics Redu was consulted because he had not yet stooled and was having non-bilious emesis with every feeding.↗
▶Ep 88 · 2:13
quoteYeah, I think it was the physical exam. The baby was very tender on exam, was erythematous over areas of the belly, was very distended.↗
▶Ep 88 · 2:58
quoteTrisomy 21 is associated with a higher incidence of Hirschsprung disease. I think about 50 times higher than in non-trisomy 21 patients and about 5 to 10 percent of Trisomy 21 patients have Hirschsprung disease.↗
▶Ep 88 · 2:58
epidemiologicalTrisomy 21 is associated with approximately 50 times higher incidence of Hirschsprung disease compared to non-trisomy 21 patients, with about 5-10% of trisomy 21 patients having Hirschsprung disease.↗
▶Ep 88 · 10:40
quoteYou can note that the recto sigmoid ratio is very obviously less than one in the contrast enema on the sagittal view. And you also see in the rectum some sawtoothing that I think is indicative of not just Hirschsprung's, but Hirschsprung's associated enero colitis.↗
▶Ep 88 · 10:40
clinicalThe rectosigmoid ratio less than one on contrast enema is indicative of Hirschsprung disease.↗
Colorectal Quiz: Episode 46
▶Ep 90 · 1:16
quoteOn day of life two, Pediatrics Redu was consulted because he had not yet stooled and was having non-bilious emesis with every feeding.↗
▶Ep 90 · 2:13
quoteYeah, I think it was the physical exam. The baby was very tender on exam, was erythematous over areas of the belly, was very distended.↗
▶Ep 90 · 2:58
quoteTrisomy 21 is associated with a higher incidence of Hirschsprung disease. I think about 50 times higher than in non-trisomy 21 patients and about 5 to 10 percent of Trisomy 21 patients have Hirschsprung disease.↗
▶Ep 90 · 2:58
epidemiologicalTrisomy 21 is associated with approximately 50 times higher incidence of Hirschsprung disease compared to non-trisomy 21 patients, with about 5-10% of trisomy 21 patients having Hirschsprung disease.↗
▶Ep 90 · 4:10
clinicalIn patients presenting with signs of sepsis and suspected Hirschsprung, the approach is to treat first with rectal irrigations (20 mL/kg three times daily) and IV metronidazole, asking questions later.↗
▶Ep 90 · 4:10
quoteSo in this patient who is presenting with signs of sepsis, we wanted to treat first and kind of ask questions later. So we started with rectal irrigations, 20 mLs per kg three times a day, and started IV flagell in addition to the other antibiotics he was on.↗
▶Ep 90 · 10:40
quoteYou can note that the recto sigmoid ratio is very obviously less than one in the contrast enema on the sagittal view. And you also see in the rectum some sawtoothing that I think is indicative of not just Hirschsprung's, but Hirschsprung's associated enero colitis.↗
▶Ep 90 · 10:40
clinicalOn contrast enema, a rectosigmoid ratio less than one is indicative of Hirschsprung disease.↗
▶Ep 90 · 11:19
quoteThe biopsy showed that there were no ganglion cells and hypertrophic nerves.↗
▶Ep 90 · 13:00
quoteI think just to map the colon. We didn't really think we were going to do the pull-through and we confirmed at the time with diagnostic laparoscopy that the colon still looked sick.↗
epidemiologicalTrisomy 21 is associated with approximately 50 times higher incidence of Hirschsprung disease than in non-trisomy 21 patients, with about 5-10% of trisomy 21 patients having Hirschsprung disease.↗
▶Ep 6 · 4:11
clinicalRectal irrigations for Hirschsprung enterocolitis should use 20 mL per kg, 3 times a day.↗
▶Ep 6 · 10:40
clinicalContrast enema findings in Hirschsprung disease include rectosigmoid ratio less than 1, saw-toothing in the rectum indicating hyperperistalsis, and signs of enterocolitis visible in the left colon.↗
Colorectal Quiz: Episode 46
▶Ep 8 · 1:16
quoteOn day of life two, Pediatrics Redu was consulted because he had not yet stooled and was having non-bilious emesis with every feeding.↗
▶Ep 8 · 2:13
quoteYeah, I think it was the physical exam. The baby was very tender on exam, was erythematous over areas of the belly, was very distended.↗
▶Ep 8 · 2:58
quoteTrisomy 21 is associated with a higher incidence of Hirschsprung disease. I think about 50 times higher than in non-trisomy 21 patients and about 5 to 10 percent of Trisomy 21 patients have Hirschsprung disease.↗
▶Ep 8 · 2:58
epidemiologicalTrisomy 21 is associated with approximately 50 times higher incidence of Hirschsprung disease compared to non-trisomy 21 patients, with about 5-10% of trisomy 21 patients having Hirschsprung disease.↗
▶Ep 8 · 10:40
quoteYou can note that the recto sigmoid ratio is very obviously less than one in the contrast enema on the sagittal view. And you also see in the rectum some sawtoothing that I think is indicative of not just Hirschsprung's, but Hirschsprung's associated enero colitis.↗
▶Ep 8 · 10:40
clinicalThe rectosigmoid ratio less than one on contrast enema is indicative of Hirschsprung disease.↗
epidemiologicalTrisomy 21 is associated with approximately 50 times higher incidence of Hirschsprung disease than in non-trisomy 21 patients, with about 5-10% of trisomy 21 patients having Hirschsprung disease.↗
▶Ep 5 · 4:11
clinicalRectal irrigations for Hirschsprung enterocolitis should use 20 mL per kg, 3 times a day.↗
▶Ep 5 · 10:40
clinicalContrast enema findings in Hirschsprung disease include rectosigmoid ratio less than 1, saw-toothing in the rectum indicating hyperperistalsis, and signs of enterocolitis visible in the left colon.↗
Colorectal Quiz: Episode 46
▶Ep 6 · 1:16
quoteOn day of life two, Pediatrics Redu was consulted because he had not yet stooled and was having non-bilious emesis with every feeding.↗
▶Ep 6 · 2:13
quoteYeah, I think it was the physical exam. The baby was very tender on exam, was erythematous over areas of the belly, was very distended.↗
▶Ep 6 · 2:58
quoteTrisomy 21 is associated with a higher incidence of Hirschsprung disease. I think about 50 times higher than in non-trisomy 21 patients and about 5 to 10 percent of Trisomy 21 patients have Hirschsprung disease.↗
▶Ep 6 · 2:58
epidemiologicalTrisomy 21 is associated with approximately 50 times higher incidence of Hirschsprung disease compared to non-trisomy 21 patients, with about 5-10% of trisomy 21 patients having Hirschsprung disease.↗
▶Ep 6 · 10:40
clinicalThe rectosigmoid ratio less than one on contrast enema is indicative of Hirschsprung disease.↗
▶Ep 6 · 10:40
quoteYou can note that the recto sigmoid ratio is very obviously less than one in the contrast enema on the sagittal view. And you also see in the rectum some sawtoothing that I think is indicative of not just Hirschsprung's, but Hirschsprung's associated enero colitis.↗
Colorectal Quiz: Episode 46
▶Ep 5 · 1:16
quoteOn day of life two, Pediatrics Redu was consulted because he had not yet stooled and was having non-bilious emesis with every feeding.↗
▶Ep 5 · 2:13
quoteYeah, I think it was the physical exam. The baby was very tender on exam, was erythematous over areas of the belly, was very distended.↗
▶Ep 5 · 2:58
quoteTrisomy 21 is associated with a higher incidence of Hirschsprung disease. I think about 50 times higher than in non-trisomy 21 patients and about 5 to 10 percent of Trisomy 21 patients have Hirschsprung disease.↗
▶Ep 5 · 2:58
epidemiologicalTrisomy 21 is associated with approximately 50 times higher incidence of Hirschsprung disease compared to non-trisomy 21 patients, with about 5-10% of trisomy 21 patients having Hirschsprung disease.↗
▶Ep 5 · 4:10
clinicalIn patients presenting with signs of sepsis and suspected Hirschsprung, the approach is to treat first with rectal irrigations (20 mL/kg three times daily) and IV metronidazole, asking questions later.↗
▶Ep 5 · 4:10
quoteSo in this patient who is presenting with signs of sepsis, we wanted to treat first and kind of ask questions later. So we started with rectal irrigations, 20 mLs per kg three times a day, and started IV flagell in addition to the other antibiotics he was on.↗
▶Ep 5 · 10:40
clinicalOn contrast enema, a rectosigmoid ratio less than one is indicative of Hirschsprung disease.↗
▶Ep 5 · 10:40
quoteYou can note that the recto sigmoid ratio is very obviously less than one in the contrast enema on the sagittal view. And you also see in the rectum some sawtoothing that I think is indicative of not just Hirschsprung's, but Hirschsprung's associated enero colitis.↗
▶Ep 5 · 11:19
quoteThe biopsy showed that there were no ganglion cells and hypertrophic nerves.↗
▶Ep 5 · 13:00
quoteI think just to map the colon. We didn't really think we were going to do the pull-through and we confirmed at the time with diagnostic laparoscopy that the colon still looked sick.↗
