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 +0  (nbme21#40)

Discussing precision only makes sense if they were to sample "X # patients" multiple times and see how close the different measurements' results were to each other. The actual size of the sample should't affect precision, but rather it should just affect accuracy (which is reduced by the biased population at the urologist). Smh


 +0  (nbme21#42)

9 lb isn't that big of a baby... I made it out okay. Definitely should've made the baby bigger to make the answer more clear





Subcomments ...

submitted by johnthurtjr(109),

FA2019 p 357 on Gastrointestinal blood supply and parasympathetic innervation:

  • Foregut --> celiac artery, vagus innervation
  • Midgut --> SMA, vagus
  • Hindgut --> IMA, pelvic innervation
neovanilla  Don't force it out, you gotta relax and it'll come out naturally ;) +  
mysteriousmantyping  Why couldn't the answer be Inferior rectal nerve since that controls the external anal sphincter? +1  
draykid  @mysteriousmantyping I think this question is looking at complications of T2DM, more specifically diabetic autonomic neuropathy. Patient more than likely has diabetic gastroparesis which may explain his constipation and abdominal distension. +  
cuthbertallg0od  Pudendal nerve controls external anal sphincter (per FA), and gastroparesis wouldn't have anything to do w pelvic splanchnics but instead vagus nerve... Don't know why pudendal nerve couldn't be right if he was just clogged up from not being able to relax his sphincter anymore ---- is parasympathetic just more likely to be the issue statistically or something? +  
cuthbertallg0od  Or would losing pudendal nerve result in incontinence... Its never been clear to me if activation/inactivation opens/closes sphincters... +  
cuthbertallg0od  Just realized that says perineal... whoops +  
vivijujubebe  External sphincter is innervated by pudendal nerve, more often damaged during labor. DM patients have autonomic neuropathy with parasympathetic/sympathetic nerves more likely damaged +  


submitted by johnthurtjr(109),

FA2019 p 357 on Gastrointestinal blood supply and parasympathetic innervation:

  • Foregut --> celiac artery, vagus innervation
  • Midgut --> SMA, vagus
  • Hindgut --> IMA, pelvic innervation
neovanilla  Don't force it out, you gotta relax and it'll come out naturally ;) +  
mysteriousmantyping  Why couldn't the answer be Inferior rectal nerve since that controls the external anal sphincter? +1  
draykid  @mysteriousmantyping I think this question is looking at complications of T2DM, more specifically diabetic autonomic neuropathy. Patient more than likely has diabetic gastroparesis which may explain his constipation and abdominal distension. +  
cuthbertallg0od  Pudendal nerve controls external anal sphincter (per FA), and gastroparesis wouldn't have anything to do w pelvic splanchnics but instead vagus nerve... Don't know why pudendal nerve couldn't be right if he was just clogged up from not being able to relax his sphincter anymore ---- is parasympathetic just more likely to be the issue statistically or something? +  
cuthbertallg0od  Or would losing pudendal nerve result in incontinence... Its never been clear to me if activation/inactivation opens/closes sphincters... +  
cuthbertallg0od  Just realized that says perineal... whoops +  
vivijujubebe  External sphincter is innervated by pudendal nerve, more often damaged during labor. DM patients have autonomic neuropathy with parasympathetic/sympathetic nerves more likely damaged +  


submitted by johnthurtjr(109),

FA2019 p 357 on Gastrointestinal blood supply and parasympathetic innervation:

  • Foregut --> celiac artery, vagus innervation
  • Midgut --> SMA, vagus
  • Hindgut --> IMA, pelvic innervation
neovanilla  Don't force it out, you gotta relax and it'll come out naturally ;) +  
mysteriousmantyping  Why couldn't the answer be Inferior rectal nerve since that controls the external anal sphincter? +1  
draykid  @mysteriousmantyping I think this question is looking at complications of T2DM, more specifically diabetic autonomic neuropathy. Patient more than likely has diabetic gastroparesis which may explain his constipation and abdominal distension. +  
cuthbertallg0od  Pudendal nerve controls external anal sphincter (per FA), and gastroparesis wouldn't have anything to do w pelvic splanchnics but instead vagus nerve... Don't know why pudendal nerve couldn't be right if he was just clogged up from not being able to relax his sphincter anymore ---- is parasympathetic just more likely to be the issue statistically or something? +  
cuthbertallg0od  Or would losing pudendal nerve result in incontinence... Its never been clear to me if activation/inactivation opens/closes sphincters... +  
cuthbertallg0od  Just realized that says perineal... whoops +  
vivijujubebe  External sphincter is innervated by pudendal nerve, more often damaged during labor. DM patients have autonomic neuropathy with parasympathetic/sympathetic nerves more likely damaged +  


submitted by haozhier(3),

Why is it not hypoglycemia?? Hypoglycemia can also lead to seizure

cuthbertallg0od  Same thoughts here, and I think hypoglycemia occurs earlier in kids/infants than in adults (like 8 hours?) -- maybe just more likely to be hyponatremia since Na+ lost in the diarrhea... +  


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