The Journal of the British Society of Gastroenterology

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I VOL. 7 No. 2 &A". GUT Gut: first published as on 1 April 1966. Downloaded from The Journal of The British Society of Gastroenterology CON T E N T S Electron-microscope evidence for intramicro- Percutaneous cholangiography in the managemet villous fat absorption by the small intestinal of biliary stricture J. G. WALKER, W. B. YOUNG, epithelium of rats MARGOT SHNR....page 107 PHYLLIS GEORGE, and SHEILA SHERLOCK. -page 164 Fat absorption in pancreatic deficiency in rats Injection studies of the splenic vasculature in a. MAsARE and w. J. SiMMONDS ........page 114 portal hypertension FEDERICO MANENTI and ROGER Vwu.AMS...s...................page 175 http://gut.bmj.com/ Lack of gamma A-immunoglobulin in serum of patients with steatorrhoea P. A. CRABBi and Corticosteroids and corticotrophin in the treat- J. F. BEREmANs ......................page 119 ment of Crohn!s disease a. HOWEL JONE and J. EL LENNARD-JONES .............. .....page 181 Appearances ofthejejunal mucosa in acute tropical sprue in Singapore N. W. 3. ENGLAND and w. Incidence and coincidence of hiatus hernia O'BRIEN ...................... page 128 RONALD B. PRIDE ....................page 188 on September 27, 2021 by guest. Protected copyright. Lymphoreticular dysfunction in idiopathic stea- Internal anal sphincterotomy as an out-patient torrhoea C. F. MCCARTHY, I. D. FRASER, K. T. operation H. R. MAGEE and H. R. THOMPSON...... EVANS, and A. E. READ ................page 140 ... .. .. .. .. .. .page 190 Changes in the villous pattern of the human jejunum associated with heavy radiation damage Adenomyoma in the pylorus I. JANOTA and P. G. SMrrTH ..........................page 194 GEORGE WIERNIK ......................page 149 Primary malabsorption following extreme attempts Propanthelene as an agent for medical vagotomy R. G. CHIECKETTS, I. E. GILLESPIE, and A. W. KAY.... to lose weight FRE E. Pr1TMAN ......page 154 .....................................page 200 Use of polyethylene glycol and phenol red as unabsorbed indicators for intestinal absorption Methods and technqlues studies in man HAROLD P. SC. DL....page 159 Biopsy of the peritoneum M. POLAK.....page 203 LONDON * BRITISH MEDICAL ASSOCIATION- TAVISTOCK SQUARE W.C.1 YEARLY SUBSCRIPTION (6 NumBzs) iNLAN £4. 4s. ABROAD £4. 15s. SiNGLE NumBER 1s. 6D..

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1311 Diploma in Medical Record Science Second
[LD 0212] AUGUST 2013 Sub. Code: 1311 DIPLOMA IN MEDICAL RECORD SCIENCE SECOND YEAR PAPER II – INTERNATIONAL CLASSIFICATION OF DISEASES (ICD-10) & SURGICAL PROCEDURES (ICM-9CM) Q.P. Code : 841311 Time : Three Hours Maximum : 100 marks Answer ALL questions I Write appropriate codes using ICD -10 (30 x 1 = 30) 1. Therapeutic introduction of hand tendon. 2. Excision of major partial thickness of eyelid excision. 3. Interphalangeal arthrodesis of Toe. 4. Division of percutaneous spinal cord nerve tracts. 5. Transfusion of allograft bone aetriosus. 6. Rastelli operation of truncus arteriosus. 7. Pyoloric sphincter dilatation. 8. Stapling of radius epiphyseal plate. 9. Suture of hands fascia. 10. Suture of hand fascia. 11. Repair of anterior wall (abdomen) hernia. 12. Foreign body removal without incision in t o the brain. 13. Repair of Tetrology of fallot. 14. Frontal Sinusectomy. 15. Urethral sling suspension. 16. Bone shaft transfer. 17. Coil of aneuryum repair. 18. Sling suspension. 19. Radio isotope scanning, pituitary gland. 20. Spinal shunt removal. 21. Acute lung edema. Due to external agent. 22. Proximal end tibial closed fracture was riding a two wheeler-slip & fell down. 23. Thrombosed internal hemorrhoids. 24. Secondary hypertension due to renal disorder. 25. Old myocardial infarction. 26. Fall from high place, injured elbow. 27. Chronic venous (peripheral) insufficiency. 28. Acute myeloid leukemia. 29. Post-operative intestine obstruction. 30. Abnormal pregnancy. II Writes appropriate codes using ICS-9CM (20 x 2 = 40) 1. Pregnant women suffering from acute salphingo oophoritis. 2. Accidental intake of ferrous salt. 3. Sprain of lumbar spine as stuck by another person. 4.
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Code Procedure Cpt Price University Physicians Group
UNIVERSITY PHYSICIANS GROUP (UPG) PRICES OF PROVIDER SERVICES CODE PROCEDURE MOD CPT PRICE 0001A IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE 0001A $40.00 0002A IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE 0002A $40.00 0011A IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE 0011A $40.00 0012A IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE 0012A $40.00 0021A IMM ADMN SARSCOV2 5X1010 VP/0.5 ML 1ST DOSE 0021A $40.00 0022A IMM ADMN SARSCOV2 5X1010 VP/0.5 ML 2ND DOSE 0022A $40.00 0031A IMM ADMN SARSCOV2 AD26 5X10^10 VP/0.5 ML 1 DOSE 0031A $40.00 0042T CEREBRAL PERFUS ANALYSIS, CT W/CONTRAST 0042T $954.00 0054T BONE SURGERY USING COMPUTER ASSIST, FLURO GUIDED 0054T $640.00 0055T BONE SURGERY USING COMPUTER ASSIST, CT/ MRI GUIDED 0055T $1,188.00 0071T U/S LEIOMYOMATA ABLATE <200 CC 0071T $2,500.00 0075T 0075T PR TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL 26 26 $2,208.00 0126T CAROTID INT-MEDIA THICKNESS EVAL FOR ATHERSCLER 0126T $55.00 0159T 0159T COMPUTER AIDED BREAST MRI 26 26 $314.00 PR RECTAL TUMOR EXCISION, TRANSANAL ENDOSCOPIC 0184T MICROSURGICAL, FULL THICK 0184T $2,315.00 0191T PR ANT SEGMENT INSERTION DRAINAGE W/O RESERVOIR INT 0191T $2,396.00 01967 ANESTH, NEURAXIAL LABOR, PLAN VAG DEL 01967 $2,500.00 01996 PR DAILY MGMT,EPIDUR/SUBARACH CONT DRUG ADM 01996 $285.00 PR PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> 0200T NDL 0200T $5,106.00 PR PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> 0201T NDLS 0201T $9,446.00 PR INJECT PLATELET RICH PLASMA W/IMG 0232T HARVEST/PREPARATOIN 0232T $1,509.00 0234T PR TRANSLUMINAL PERIPHERAL ATHERECTOMY, RENAL
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Anal Fissure
Anal Fissure What is an anal fissure? An anal fissure is a small tear in the skin of the anus. The anus is the opening of the rectum where bowel movements (BMs) leave the body. Anal fissures are a fairly common problem. What is the cause? A tear may happen when you have: • Hard, dry bowel movements • Constipation • Hemorrhoids • Anal surgery • Inflammation of the rectum caused by intestinal problems such as Crohn's disease What are the symptoms? Symptoms may include: • Pain during or after bowel movements • Cramping of the muscle at the opening of the anus caused by irritation of the tear during a bowel movement • Bright red blood when you have a bowel movement (you may see the blood on the BM, in the toilet water, or on toilet tissue you have used) How is it diagnosed? Your healthcare provider will ask about your symptoms and examine you. You may have a procedure called an anoscopy to confirm the diagnosis. For this procedure your provider uses a small tool with a light called an anoscope to examine the anus and lower part of the rectum. Your healthcare provider may recommend other tests or procedures, such as a sigmoidoscopy or colonoscopy, to learn more about the cause of the fissure or the bleeding. How is it treated? Most fissures will heal with the following at-home treatments: • Your healthcare provider may recommend a stool softener, such as Haley's M-O, psyllium, Metamucil or Citrucel, or mineral oil. • It may help to drink lots of water and add more fiber to your diet.
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PSI Appendix a Version 6.0 Patient Safety Indicators Appendices
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Approved Surgical Procedures
UNION MEDICAL BENEFITS SOCIETY LTD APPROVED SURGICAL PROCEDURES The following list of surgical procedures should be read in conjunction with your policy document. If you are intending to have one of the listed procedures, please call our surgical team on 0800 600 666 so we can guide you through the prior approval process. If a surgical procedure is not listed below, it will not be covered unless UniMed decides, in its sole discretion, to offer cover. CARDIAC GENERAL • Pericardiotomy Breast • Pericardiocentesis • Breast Cyst Aspiration or Needle Biopsy • Drainage of Pericaridal Effusion • Breast Biopsy • Coronary Artery Bypass (using vein or artery) • Core Biopsy of Breast • Open Repair of Atrial Septal Defect (ASD) • Excision Accessary Breast Tissue • Valvuloplasty • Mastectomy • Aortic/ Mitral Valve Replacement via Sternotomy • Sentinel Node Biopsy with/without Axillary Dissection • Pulmonary Valve Replacement via Sternotomy • Breast Microdochotomy • Tricuspid Valve Replacement via Sternotomy • Balloon Valvuloplasty – Mitral/ Aortic Reconstruction Post Mastectomy • Pacemaker Surgery – Initial Implantation (Excluding the Cost • Breast/ Nipple Reconstruction of the Pacemaker) • Nipple Areolar Tattoo • Removal of Sternal Wire • Maze Arrhythmia Surgery Gastrointestinal • Removal & Rewiring of Sternal Wire • Anal Sphincterotomy • Maze Arrhythmia Surgery (Standalone procedure) • Simple Repair of Anal Fistula – Special approval only • Maze Procedure – Thoracoscopic • Anal Fistula Repair with Mucosal Advancement Flap • Bentall’s Procedure (includes
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SCORE Curriculum Outline for General Surgery
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Anal Fissures David B
CLINICAL PRACTICE GUIDELINES Clinical Practice Guideline for the Management of Anal Fissures David B. Stewart, Sr., M.D. • Wolfgang Gaertner, M.D. • Sean Glasgow, M.D. John Migaly, M.D. • Daniel Feingold, M.D. • Scott R. Steele, M.D. Prepared on behalf of the Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons he American Society of Colon and Rectal Surgeons anal fissures is anal pain, which is often provoked by def- is dedicated to ensuring high-quality patient care ecation and may last for several hours following defecation. Tby advancing the science, prevention, and manage- Anorectal bleeding may also be associated with fissures, ment of disorders and diseases of the colon, rectum, and and, when this symptom is present, it can contribute to a anus. The Clinical Practice Guidelines Committee is com- misdiagnosis of symptomatic hemorrhoids. In up to 90% of posed of society members who are chosen because they cases, the anal fissure is located within the posterior midline have demonstrated expertise in the specialty of colon and of the anal canal. Fissures are located in the anterior midline rectal surgery. This committee was created to lead interna- in as many as 25% of female patients and in as many as 8% tional efforts in defining quality care for conditions related of male subjects. In 3% of patients, fissures can be located to the colon, rectum, and anus. This is accompanied by at posterior and anterior positions simultaneously. Fissures developing clinical practice guidelines based on the best located at lateral locations within the anal canal, and multi- available evidence.
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Lateral Internal Sphincterotomy Versus Anal Dilatation in Chronic Anal Fissure - an Observational Study
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Lateral Internal Sphincterotomy versus Anal Dilatation in Chronic Anal Fissure - An Observational Study Rakesh Kumar Pandit1, Vinay Kumar Jha2 1Associate Professor and Head, Department of Surgery, Janaki Medical College and Teaching Hospital, Janakpur, Nepal 2Assistant Professor, Department of Surgery, Janaki Medical College and Teaching Hospital, Janakpur, Nepal Corresponding Author: Rakesh Kumar Pandit ABSTRACT Background and Objectives: Both anal dilatation (AD) and lateral internal sphincterotomy (LIS) are practiced in our hospital for treatment of chronic anal fissure (CAF). The objective of the study was to compare the two procedures especially regarding pain relief, ulcer healing, incontinence and recurrence. Material and Methods: This is an observational study and included 50 patients of AD (Group A) and 44 patients of LIS (Group B). The average follow-up was 3.5 ± 4.9 (range, 1-9) months. Results: By the end of 1 month pain relief was observed in 45 (90%) and 42 (95.45%) patients and ulcer healing in 47 (94%) and 43 (97.7%) patients in group A and B respectively. By the end of 3 months, minor incontinence including mucous discharge was observed in 12 (24%) and 3 (6.8%) patients in group A and B respectively and the difference was significant (p=0.046). None had major incontinence. Eight (16%) and 1 (2.27%) patients in group A and group B respectively reported with recurrence (p = 0.05) during the study period and thereafter. Conclusion: Both AD and LIS provides early pain relief and high ulcer healing rate.
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CAFM Consensus Statement for Procedural Training in Family Medicine Residency
CAFM Consensus Statement for Procedural Training in Family Medicine Residency Preamble: Procedural skills are expected of all family medicine residency graduates. The Accreditation Council for Graduate Medical Education Review Committee for Family Medicine (RC-FM) in its 2014 revision of the Family Medicine requirements FAQ (frequently asked questions), stated that national organizations of family medicine should develop training guidelines for procedural training for the specialty.1 A task force was convened with the support of the Association of Family Medicine Residency Directors (AFMRD) that included experienced faculty and program directors from across the country and CAFM member organizations. This consensus report represents the collective wisdom of experienced educators building upon a foundation of established literature and existing standards in determining best practices for informing what defines procedural competency. The task force recognized that family physicians in practice may perform a wide range of procedures, and that there is significant variance among physicians-in-training for procedural skills. This variance may lead to confusion among employers, credentialing bodies, and patients about what services a trained family physician should be able to provide. Using procedure taxonomy that the STFM Group on Hospital Medicine and Procedural Training previously defined,2,3 as well as data from the American Academy of Family Physicians membership survey regarding the scope of procedures performed in practice,4 the task force recommends a core list of procedures that family physicians should be able to perform at the completion of their residency. The task force also recommends a set of standardized criteria to be used for measuring competency in these procedures and has developed tools program directors and residency faculty may use to do so.
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