California Fecal incontinence is a physically and psychologically disabling condition that affects millions of Americans, especially those over the age of 65 years. The pathophysiology is often multifactorial, with decreased anorectal sensation, reduced rectal compliance, anal sphincter dysfunction, altered stool consistency and immobility playing significant roles. A detailed history and a thorough physical examination are always necessary in patients with fecal incontinence, and physiologic tests, including anorectal manometry, cinedefecography and electromyography, may be required for proper diagnosis and treatment. If conservative management fails, surgical intervention, such as sphincteroplasty or gracilis muscle transposition, may be considered. Most wide complex tachycardias are ventricular tachycardia, and they are managed with antiarrhythmic drugs and correction of serum potassium and magnesium levels.
Supraventricular tachycardias occur with or without ventricular conduction abnormalities.
The management of supraventricular tachycardia requires careful evaluation for aberrant ventricular conduction or preexcitation. The cause of a wide complex tachycardia must be identified, because certain therapies can result in potentially fatal arrhythmias. If the cause cannot be determined, a test dose of intravenous adenosine can be used. Another approach is intravenous administration of procainamide and a beta-adrenergic blocker. Kansas Transient synovitis is the most common cause of acute hip pain in children three to 10 years of age.