15. Anal Fissure

The close of the 20th century saw endoscopy and laparoscopy evolve from passive optical tools into dynamic platforms that integrated real-time guidance, autonomous movement, and computational interpretation for navigation, diagnosis, and therapy. 

By the mid-20th century, endoscopy's long-standing challenge of safely illuminating internal structures was transformed by postwar advances—especially Harold Hopkins's 1950s rod-lens system, which enabled brighter, distortion-free, miniaturized imaging that could reliably guide c ... Show More

By the mid-20th century, endoscopy and laparoscopy were ready for major advancement. Although instruments had evolved into semi-flexible designs, visualization was still limited by glass optics and heat-producing light sources. A breakthrough toward fully flexible, high-resolutio ... Show More

<p dir="ltr">What is the most common cause of anal pain or bleeding that you will see in primary care? It is not hemorrhoid, like we talked about last week. It is in fact anal fissures and some patients will describe them as razor blades coming out of their rectum.</p> <p dir="lt ... Show More

A rapid review of flexor tendon injury for the plastic surgery learner. In this episode we review:Flexor tendon anatomyEvaluation and management of the flexor tendon injury patientFeedback is always appreciated. Comments, questions, suggestions, or corrections can be sent to jake ... Show More

In this episode, Dr. Ashleigh Halderman, Rhinologist and Associate Professor at the University of Texas Southwestern Medical Center, discusses chronic invasive fungal sinusitis with hosts Dr. Gopi Shah and Dr. Ashley Agan, First, Dr. Halderman outlines her advocacy work as Presid ... Show More

To operate or not to operate, to drain the urine leak or to not drain it, those are the questions. Join our Miami Trauma team including Drs. Urréchaga, Neeman, and Rattan- in their final episode together! - as they discuss how to navigate the ins and outs of renal trauma!  Learni ... Show More

<p><span style="font-weight: 400;">The physical exam has become a ritual of the modern doctor's appointment, with pokes, prods, and strange tools. How did this become a normal thing to do? In this episode, I'll discuss how the physical exam went from the medieval examination of a ... Show More

We recorded this on the last day of Anal August so that counts right? Our second to last episode of Season 1 and we couldn’t be more excited to discuss a topic that has come up time and time again!A listener dilemma about analOur followers stats on analWould you peg your partner? ... Show More

<p>In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the September 2023 Emergency Medicine Practice article, <a href="https://www.ebmedicine.net/topics/gastrointestinal/emergency-medicine-rectal-bleeding">Emergency Department Management of Patients With Rectal Bleeding</ ... Show More

Let’s talk anal play! If you’re a booty newbie, where do you begin? What feel-good nerve endings are you looking for? Should you start alone, or with a partner? And how the hell do you go shopping for butt plugs? Listen: if you’ve got backdoor questions, my guests Dr. Charlie Gli ... Show More

A rapid review of nasoorbitoethmoid (NOE) fractures for the plastic surgery learner. In this episode we review:NOE complex anatomyEvaluation and management of the NOE fracture patientFeedback is always appreciated. Comments, questions, suggestions, or corrections can be sent to j ... Show More