79 results
Dyssnergic Defecation (DD) - Diagnosis and Management

Impaired rectal evacuation with abnormal anorectal testing & recurring constipation

Diagnostic
Dyssnergic Defecation ... #Dyssnergic #Defecation
Constipation Management Algorithm
What do you mean by constipation?
 - Infrequent bowel movements, difficult defecation or both?
movements, difficult defecation ... relieved/related to defecation
Management of Benign Anorectal Disorders

Dyssnergic Defecation (DD)
Proctalgia Syndromes
Anal Fissures
Hemorrhoids
Fecal Incontinence

By Cynthia Tran, MD @EmoryGastroHep

#Anorectal #Disorders #Management
Dyssnergic Defecation
Osborn wave (J wave) in Hypothermia - Positive deflection at the J point

Height of the J
Hypothermia - Positive deflection
Syncope - Differential Diagnosis Framework
Reflex Syncope:
• Vasovagal: Prolonged standing, Stress, Pain
• Situational: Coughing, Sneezing, Micturition, Defecation,
, Micturition, Defecation
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Related to defecation ... Diagnose dyssynergic defecation
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
micturition, coughing, defecation
Syncope - Differential Diagnosis
The percentage of syncopal events secondary to arrhythmias or structural disease is generally
Micturition - Defaecation
Arrhythmogenic Right Ventricular Dysplasia (ARVD)

• A small positive deflection buried in the terminal QRS complex (Epsilon
small positive deflection
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Micturition • Defecation