Jonathan Sutcliffe

50 statements · 2 topics · summaries given as host listed separately

Featured statements

what is it that you think you're doing
if it ain't broken, don't fix it
A VACTERL workup is recommended for any patient with an anorectal malformation, including perineal groove, because the tests are non-invasive and stratifying workup by severity leads to system errors and confusion.
Perineal groove is probably the most minor part of the anorectal malformation spectrum, based on observation of 2-3 cases in association with either perineal fistula or rectovaginal fistula, occurring more than random chance would suggest.

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Jonathan's statements about Anorectal Malformation 25 statements

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Colorectal Quiz 25: Perineal Groove

Statement In the UK, surgeons are addressed as 'Mr.' rather than 'Dr.' because barbers were the forerunners of surgeons, while doctors were a separate profession. Open
Quotation I think it's to do with the fact that barbers were the um forerunner uh of uh of surgeons, so over here anyway, doctors were doctors and the surgeons came from barbers Open
Statement In the UK, surgeons are addressed as 'Mr.' rather than 'Dr.' because barbers were the forerunners of surgeons, while doctors were a separate profession. Open
Quotation I think it's to do with the fact that barbers were the um forerunner uh of uh of surgeons, so over here anyway, doctors were doctors and the surgeons came from barbers Open
Quotation it's an important part of our mandatory training, um, we, we do it Tuesdays, uh, every other week, um, but never miss, never miss that. Open
Quotation it's an important part of our mandatory training, um, we, we do it Tuesdays, uh, every other week, um, but never miss, never miss that. Open
Statement Visual inspection ('eyeballing') is reliable for assessing anal position and presence of perineal body; measurements can be difficult in wriggling babies and it's hard to define the center and measurement points reliably. Open
Statement Visual inspection ('eyeballing') is reliable for assessing anal position and presence of perineal body; measurements can be difficult in wriggling babies and it's hard to define the center and measurement points reliably. Open
Statement According to John Hudson, you do not get a morphological abnormality (like cloaca) in association with an endocrinological abnormality (DSD) in the same patient. Open
Statement Perineal groove is not a common diagnosis, but there is a sense that it is being seen more often than in the past. Open
Statement Perineal groove is not a common diagnosis, but there is a sense that it is being seen more often than in the past. Open
Statement Perineal groove has been misdiagnosed as perianal fissure, perineal trauma, non-accidental injury (NAI), dermatitis, or infection; if you haven't seen it before, it's hard to spot. Open
Statement Perineal groove has been misdiagnosed as perianal fissure, perineal trauma, non-accidental injury (NAI), dermatitis, or infection; if you haven't seen it before, it's hard to spot. Open
Statement Ed Kiely's principle: 'What is it that you think you're doing?' should be applied any time there's grayness in clinical decision-making, considering what you're trying to achieve and on whose behalf. Open
Quotation what is it that you think you're doing Open
Statement When repairing a perineal fistula that coexists with a perineal groove, the mucosal trough is excised at the same time. Open
Statement When repairing a perineal fistula that coexists with a perineal groove, the mucosal trough is excised at the same time. Open
Statement Perineal groove is probably the most minor part of the anorectal malformation spectrum, based on observation of 2-3 cases in association with either perineal fistula or rectovaginal fistula, occurring more than random chance would suggest. Open
Statement Perineal groove is probably the most minor part of the anorectal malformation spectrum, based on observation of 2-3 cases in association with either perineal fistula or rectovaginal fistula, occurring more than random chance would suggest. Open
Statement A VACTERL workup is recommended for any patient with an anorectal malformation, including perineal groove, because the tests are non-invasive and stratifying workup by severity leads to system errors and confusion. Open
Statement A VACTERL workup is recommended for any patient with an anorectal malformation, including perineal groove, because the tests are non-invasive and stratifying workup by severity leads to system errors and confusion. Open
Statement Spinal ultrasound should be performed within a reasonable time period (institution-dependent) because if not done early and a question about tethered cord arises later, it cannot be answered. Open
Statement Spinal ultrasound should be performed within a reasonable time period (institution-dependent) because if not done early and a question about tethered cord arises later, it cannot be answered. Open
Quotation if it ain't broken, don't fix it Open
Quotation if it ain't broken, don't fix it Open
Jonathan's statements about Colorectal / ARM & Hirschsprung 25 statements

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Colorectal Quiz 25: Perineal Groove

Statement In the UK, surgeons are addressed as 'Mr.' rather than 'Dr.' because barbers were the forerunners of surgeons, while doctors were a separate profession. Open
Quotation I think it's to do with the fact that barbers were the um forerunner uh of uh of surgeons, so over here anyway, doctors were doctors and the surgeons came from barbers Open
Quotation I think it's to do with the fact that barbers were the um forerunner uh of uh of surgeons, so over here anyway, doctors were doctors and the surgeons came from barbers Open
Statement In the UK, surgeons are addressed as 'Mr.' rather than 'Dr.' because barbers were the forerunners of surgeons, while doctors were a separate profession. Open
Quotation it's an important part of our mandatory training, um, we, we do it Tuesdays, uh, every other week, um, but never miss, never miss that. Open
Quotation it's an important part of our mandatory training, um, we, we do it Tuesdays, uh, every other week, um, but never miss, never miss that. Open
Statement Visual inspection ('eyeballing') is reliable for assessing anal position and presence of perineal body; measurements can be difficult in wriggling babies and it's hard to define the center and measurement points reliably. Open
Statement Visual inspection ('eyeballing') is reliable for assessing anal position and presence of perineal body; measurements can be difficult in wriggling babies and it's hard to define the center and measurement points reliably. Open
Statement According to John Hudson, you do not get a morphological abnormality (like cloaca) in association with an endocrinological abnormality (DSD) in the same patient. Open
Statement Perineal groove is not a common diagnosis, but there is a sense that it is being seen more often than in the past. Open
Statement Perineal groove is not a common diagnosis, but there is a sense that it is being seen more often than in the past. Open
Statement Perineal groove has been misdiagnosed as perianal fissure, perineal trauma, non-accidental injury (NAI), dermatitis, or infection; if you haven't seen it before, it's hard to spot. Open
Statement Perineal groove has been misdiagnosed as perianal fissure, perineal trauma, non-accidental injury (NAI), dermatitis, or infection; if you haven't seen it before, it's hard to spot. Open
Statement Ed Kiely's principle: 'What is it that you think you're doing?' should be applied any time there's grayness in clinical decision-making, considering what you're trying to achieve and on whose behalf. Open
Quotation what is it that you think you're doing Open
Statement When repairing a perineal fistula that coexists with a perineal groove, the mucosal trough is excised at the same time. Open
Statement When repairing a perineal fistula that coexists with a perineal groove, the mucosal trough is excised at the same time. Open
Statement Perineal groove is probably the most minor part of the anorectal malformation spectrum, based on observation of 2-3 cases in association with either perineal fistula or rectovaginal fistula, occurring more than random chance would suggest. Open
Statement Perineal groove is probably the most minor part of the anorectal malformation spectrum, based on observation of 2-3 cases in association with either perineal fistula or rectovaginal fistula, occurring more than random chance would suggest. Open
Statement A VACTERL workup is recommended for any patient with an anorectal malformation, including perineal groove, because the tests are non-invasive and stratifying workup by severity leads to system errors and confusion. Open
Statement A VACTERL workup is recommended for any patient with an anorectal malformation, including perineal groove, because the tests are non-invasive and stratifying workup by severity leads to system errors and confusion. Open
Statement Spinal ultrasound should be performed within a reasonable time period (institution-dependent) because if not done early and a question about tethered cord arises later, it cannot be answered. Open
Statement Spinal ultrasound should be performed within a reasonable time period (institution-dependent) because if not done early and a question about tethered cord arises later, it cannot be answered. Open
Quotation if it ain't broken, don't fix it Open
Quotation if it ain't broken, don't fix it Open

Summaries Jonathan gave as host · 6 summaries

Recaps of other experts' statements, not Jonathan's own clinical position.

Summaries Jonathan gave as host · Anorectal Malformation 3 summaries

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Colorectal Quiz 25: Perineal Groove

Host summary Jonathan Sutcliffe summarizing a resource: According to John Hudson, you do not get a morphological abnormality (like cloaca) in association with an endocrinological abnormality (DSD) in the same patient. Open
Host summary Jonathan Sutcliffe summarizing a resource: Ed Kiely's principle: 'What is it that you think you're doing?' should be applied any time there's grayness in clinical decision-making, considering what you're trying to achieve and on whose behalf. Open
Host summary Jonathan Sutcliffe summarizing a resource: what is it that you think you're doing Open
Summaries Jonathan gave as host · Colorectal / ARM & Hirschsprung 3 summaries

Open the Colorectal / ARM & Hirschsprung collection →

Colorectal Quiz 25: Perineal Groove

Host summary Jonathan Sutcliffe summarizing a resource: According to John Hudson, you do not get a morphological abnormality (like cloaca) in association with an endocrinological abnormality (DSD) in the same patient. Open
Host summary Jonathan Sutcliffe summarizing a resource: Ed Kiely's principle: 'What is it that you think you're doing?' should be applied any time there's grayness in clinical decision-making, considering what you're trying to achieve and on whose behalf. Open
Host summary Jonathan Sutcliffe summarizing a resource: what is it that you think you're doing Open