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Difference between revisions of "Ditzels"
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→Gastrointestinal: +vagus
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(→Gastrointestinal: +vagus) |
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*[[Vasectomy]]. | *[[Vasectomy]]. | ||
=Gastrointestinal= | =Gastrointestinal pathology= | ||
==Hernia sac== | ==Hernia sac== | ||
===General=== | ===General=== | ||
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- SKIN WITHOUT SIGNIFICANT PATHOLOGY. | - SKIN WITHOUT SIGNIFICANT PATHOLOGY. | ||
- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY. | - NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY. | ||
</pre> | |||
==Vagus nerve== | |||
===General=== | |||
*Seen from ''vagotomy''. | |||
Typical indication: | |||
*Gastric outlet obstruction.<ref>{{Cite journal | last1 = Okawada | first1 = M. | last2 = Okazaki | first2 = T. | last3 = Takahashi | first3 = T. | last4 = Lane | first4 = GJ. | last5 = Yamataka | first5 = A. | title = Gastric outlet obstruction possibly secondary to ulceration in a 2-year-old girl: a case report. | journal = Cases J | volume = 2 | issue = 1 | pages = 8 | month = | year = 2009 | doi = 10.1186/1757-1626-2-8 | PMID = 19123936 }}</ref> | |||
Notes: | |||
*Left vagus nerve -> anterior vagal trunk. | |||
*Right vagus nerve -> posterior vagal trunk. | |||
===Microscopic=== | |||
Features: | |||
*Peripheral nerve. | |||
DDx: | |||
*Smooth muscle. | |||
===IHC=== | |||
*S-100 +ve. | |||
*Desmin -ve. | |||
===Sign out=== | |||
<pre> | |||
A. VAGUS NERVE, POSTERIOR, VAGOTOMY: | |||
- PERIPHERAL NERVE WITHIN NORMAL LIMITS. | |||
B. VAGUS NERVE, ANTERIOR, VAGOTOMY: | |||
- SMOOTH MUSCLE TISSUE WITHIN NORMAL LIMITS. | |||
- PERIPHERAL NERVE NOT IDENTIFIED, SEE COMMENT. | |||
COMMENT: | |||
The tissue was stained with desmin and S-100; it is positive for desmin. S-100 marks only small nerves fibres that innervate the muscle. | |||
</pre> | </pre> | ||