PS Manual

Clsnyder — Tue, 07 Sep 2010 15:38:21 GMT

Renal Trauma:

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	Most of the time, the dose of laxative that the patient needs in order to empty the rectosigmoid completely, as demonstrated radiologically, can be achieved. At that dose, the pseudoincontinent patient should stop soiling, because by successfully emptying the distal colon each day, the child will remain clean until the laxative provokes the next voluntary bowel movement(s). Occasionally, in the process of increasing the amount of laxative, a patient may be unable to tolerate (as evidenced by cramping, nausea, or emesis) the amount required to empty the colon daily. Such a patient may be a candidate for surgical intervention, a sigmoid resection.The megarectosigmoid is resected, and the descending colon is anastomosed to the residual rectum"		Most of the time, the dose of laxative that the patient needs in order to empty the rectosigmoid completely, as demonstrated radiologically, can be achieved. At that dose, the pseudoincontinent patient should stop soiling, because by successfully emptying the distal colon each day, the child will remain clean until the laxative provokes the next voluntary bowel movement(s). Occasionally, in the process of increasing the amount of laxative, a patient may be unable to tolerate (as evidenced by cramping, nausea, or emesis) the amount required to empty the colon daily. Such a patient may be a candidate for surgical intervention, a sigmoid resection.The megarectosigmoid is resected, and the descending colon is anastomosed to the residual rectum"
		+
		+	==Renal Trauma==
		+	'''Protocol for FU'''
		+	# US if contrast extravasation on initial CT
		+	# Urines q 2wks till micro clear
		+	# BP q 6 months for 3 years

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