Kristine Thayer

17 statements · 1 topic · summaries given as host listed separately

Colorectal / ARM & Hirschsprung · guest expert

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They came up with this Hinman-Allen syndrome, which I had never heard of. And apparently it's a voluntary, um, well, they call it a non-neurogenic neurogenic bladder, and it is 20, it's very prevalent in trisomy 21 kids at this age, and it's a result of voluntary contraction of the pelvic floor muscles where they have both constipation and urinary retention to the point where the bladder becomes neurogenic and and it's basically a learned behavior.

quote · Colorectal / ARM & Hirschsprung

I don't think anybody would consider a suction rectal biopsy in a 16-year-old to be adequate opinions.

quote · Colorectal / ARM & Hirschsprung

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Kristine's statements about Colorectal / ARM & Hirschsprung 17 statements

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Tricks - Ultrashort Segment Hirschsprungs - Kristine Thayer

Quotation I don't think anybody would consider a suction rectal biopsy in a 16-year-old to be adequate opinions. Open

Statement Gold standard for Hirschsprung's diagnosis in infants is suction rectal biopsy; if inadequate specimen obtained, advance to open trans-anal rectal biopsy. Open

Statement Complete metadata for medical education content includes: title, description, summary, keywords, duration, content type, specialty area, target audience level, and language. Open

Quotation I discovered that he had almost 2 L neurogenic bladder. Um. And was, was, when Mom was describing his voiding, it was probably overflowing continence more than anything else. Open

Quotation The urology consult had been pended but was on my mind. Would anybody consider doing any additional surgery at this point to try and delineate if in fact the, the, the first biopsy that I had done was a factual biopsy? Open

Statement Strip myomectomy pathology showed: no ganglion cells from verge to 2 cm, sparse ganglion cells from 2 to 4 cm, normal ganglion cells from 4 to 6 cm, hypertrophied nerve bundles throughout the entire 6 cm specimen, and abnormal calretinin only in the distal 2 cm. Open

Quotation There were no ganglion cells from the verge to 2 centimeters. There were sparse ganglion cells from 2 to 4 centimeters. There was normal ganglion cells from 4 to 6. There was hypertrophied nerve bundles throughout the entire specimen, including 6 centimeters. The Cretin was the only, was only abnormal at the distal 2 centimeters. Open

Quotation They came up with this Hinman-Allen syndrome, which I had never heard of. And apparently it's a voluntary, um, well, they call it a non-neurogenic neurogenic bladder, and it is 20, it's very prevalent in trisomy 21 kids at this age, and it's a result of voluntary contraction of the pelvic floor muscles where they have both constipation and urinary retention to the point where the bladder becomes neurogenic and and it's basically a learned behavior. Open

Statement Hinman-Allen syndrome is a non-neurogenic neurogenic bladder that is very prevalent in trisomy 21 adolescents at this age, resulting from voluntary contraction of pelvic floor muscles causing both constipation and urinary retention to the point where the bladder becomes neurogenic. Open

Statement Hinman-Allen syndrome is a learned behavior that can be overcome with intermittent catheterizations, and if behavior can be changed, the kidneys can be salvaged. Open

Summaries Kristine gave as host · 3 summaries

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

Summaries Kristine gave as host · Colorectal / ARM & Hirschsprung 3 summaries

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Tricks - Ultrashort Segment Hirschsprungs - Kristine Thayer

Host summary Kristine Thayer summarizing the discussion: Hinman-Allen syndrome is a non-neurogenic neurogenic bladder that is very prevalent in trisomy 21 adolescents at this age, resulting from voluntary contraction of pelvic floor muscles causing both constipation and urinary retention to the point where the bladder becomes neurogenic. Open

Host summary Kristine Thayer summarizing the discussion: They came up with this Hinman-Allen syndrome, which I had never heard of. And apparently it's a voluntary, um, well, they call it a non-neurogenic neurogenic bladder, and it is 20, it's very prevalent in trisomy 21 kids at this age, and it's a result of voluntary contraction of the pelvic floor muscles where they have both constipation and urinary retention to the point where the bladder becomes neurogenic and and it's basically a learned behavior. Open

Host summary Kristine Thayer summarizing the discussion: Hinman-Allen syndrome is a learned behavior that can be overcome with intermittent catheterizations, and if behavior can be changed, the kidneys can be salvaged. Open