Colon Polyps

A polyup is a mass of tissue that protrudes into the lumen of the bowel. Polyps can occur anywhere in the intestinal tract and rectum.  They can be classified as neoplastic (adenomas and carcinomas) or non- neoplastic (mucosal and hyperplastic) Non-neoplastic polyps, which are benign epithelial growths are common in the western world and occur …

Rectovaginal fistula

A rectovaginal fistula (RVF) is an epithelial-lined tract between the rectum and vagina. CAUSES 1. Perineal lacerations during childbirth, especially those due to episioproctotomy, predispose patients to RVFs. Failure to recognize and correctly repair perineal lacerations, or secondary infection of perineal lacerations, further increases the chance of RVF. 2. Crohn disease  and,  ulcerative colitis have …

The Precordial Thump

It’s old school. It looks cool. Its rarely done. It’s back. The precordial thump is now back in the 2010 ACLS guidelines. The precordial thump may be considered for patients with witnessed, monitored, unstable VT (including pulseless VT) if a defibrillator is not immediately ready for use, but it should not delay CPR and shock …