By Rev. T.M. Eddy
Discourse in regards to the American President Abraham Lincoln via the yankee clergyman and writer.
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Extra info for Abraham Lincoln: A Memorial Discourse
General Examination The examination begins with the general appearance of the patient, vital signs, and body weight. It starts at the moment the patient enters the room and is directed towards answering two questions: (1) Is the patient’s general appearance and fitness consistent with the simple diagnosis of hemorrhoids? (2) Are the patient’s medical comorbidities, personality, and body habitus a contraindication to standard management? Patients with hemorrhoids are generally young, fit, and healthy.
Some anoscopes can be attached to a light source. In other cases, a head lamp can be worn by the examiner. Whatever instrument is used, it should be tapered, with a diameter not to exceed 20–30 mm. It should have either an angled end or a longitudinal groove. I prefer the longitudinal groove because it allows the hemorrhoidal complex to protrude into the longitudinal slot and makes it accessible for the planned treatment. 3 (A) Hinkel-James anoscope (B) Vernon-David anoscope. Diagnosis A generous amount of lubrication should be used.
Principles and practice of surgery for the colon, rectum and anus. Quality Medical Publishing Inc. 1999:193–215. Surgical Treatment of Hemorrhoids 3. Smith LE. Hemorrhoids. In: Fazio VW, Church JM, Delaney CP, eds. Current therapy in colon and rectal surgery. Elsevier Mosby, 2004:11–22. 4. Rex DK, Bond JH, Winawer S et al. Quality in the technical performance of colonoscopy and the continuous quality improvement process for colonoscopy: Recommendations of the US Multi-Society Task Force on Colorectal Cancer.