Kompaktatlas Blickdiagnosen by Gunter Gruber, Andreas Hansch

By Gunter Gruber, Andreas Hansch

Trotz hochtechnischer Untersuchungsverfahren ist und bleibt der Blick auf den Patienten die wichtigste und kostengünstigste Informationsquelle. Doch dies setzt eine ständige und aktive Blickschulung des Arztes voraus. Der Kompaktatlas der Blickdiagnostik bietet Ihnen eine Sammlung von four hundred farbigen klinischen Aufnahmen und enthält die wichtigsten Blickdiagnosen aus der internistischen und allgemeinmedizinischen Praxis. Zu jedem Befund erhalten Sie:

  • eine exakte Befundbeschreibung
  • wichtige Differentialdiagnosen
  • typische Leitsymptome für die Diagnose
  • Hinweise zur weiterführenden Diagnostik
  • weitere wichtige Informationen zur Vertiefung

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Example text

To investigate why this should be, we have compared a group of patients with the histological changes of SRUS and rectal ulceration with a group with the histological changes alone. A high incidence of rectal prolapse (;:e:89%) was present in both groups. There were three differences between the groups. The patients with rectal ulceration were younger. They demonstrated a greater degree of overactivity in their sphincters during voiding, and voiding required a greater increase in intra-rectal pressure than in the patients without ulceration (unpublished observations).

Preston et al. [23] described such a method of measuring rectal pressure and volume in constipated patients, and called, by analogy with the cystometrogram, a proctometrogram. Not only can rectal sensation be recorded but the pressures at which sensation are noted can be measured [24]. Patients with constipation [23, 25], inflammatory bowel disease [26] and following low anterior resection have been studied in this way. 48 100 ,e o I l- o· ''' 0· " 0 ~ ... A ) 10 • 10 -ooIo:A.. ' 0 -· ---·· · ··- 10 0 ,,- S lOWER -- -.

The syndrome of the descending perineum. Proc Roy Soc Med 59: 477-482. 15. Kerremans R. 1969. of anal continence and defaecation. Editions Arscia, Brussels. 16. Porter NH. 1962. A physiological study of the pelvic floor in rectal prolapse. Ann Roy Coli Surg Engl 31: 379-401. 17. Bartolo DCC, Jarratt JA, Read MG, Donnelly TC, Read NW. 1983. The role of partial denervation of the puborectalis in idiopathic faecal incontinence. Br J Surg 70: 664-667. 18. Stalberg E, Trontelj JV. 1979. Single fibre electromyography.

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