RESUMEN
The Pelvic Floor Disorders Consortium (PFDC) is a multidisciplinary organization of colorectal surgeons, urogynecologists, urologists, gynecologists, gastroenterologists, radiologists, physiotherapists, and other advanced care practitioners. Specialists from these fields are all dedicated to the diagnosis and management of patients with pelvic floor conditions, but they approach, evaluate, and treat such patients with their own unique perspectives given the differences in their respective training. The PFDC was formed to bridge gaps and enable collaboration between these specialties. The goal of the PFDC is to develop and evaluate educational programs, create clinical guidelines and algorithms, and promote high quality of care in this unique patient population. The recommendations included in this article represent the work of the PFDC Working Group on Magnetic Resonance Imaging of Pelvic Floor Disorders (members listed alphabetically in Table 1). The objective was to generate inclusive, rather than prescriptive, guidance for all practitioners, irrespective of discipline, involved in the evaluation and treatment of patients with pelvic floor disorders.
Asunto(s)
Imagen por Resonancia Magnética , Trastornos del Suelo Pélvico/diagnóstico por imagen , Algoritmos , Puntos Anatómicos de Referencia , Medios de Contraste , Defecación , Humanos , Comunicación Interdisciplinaria , Imagen por Resonancia Magnética/métodos , Educación del Paciente como Asunto , Trastornos del Suelo Pélvico/fisiopatologíaAsunto(s)
Cirugía Colorrectal/métodos , Imagen por Resonancia Magnética/métodos , Trastornos del Suelo Pélvico/diagnóstico por imagen , Sociedades Científicas/organización & administración , Cirujanos/organización & administración , Adulto , Anciano , Puntos Anatómicos de Referencia/diagnóstico por imagen , Consenso , Defecación/fisiología , Defecografía/instrumentación , Femenino , Humanos , Masculino , Persona de Mediana Edad , Trastornos del Suelo Pélvico/fisiopatología , Estados Unidos/epidemiologíaRESUMEN
Gemella morbillorum and Gemella haemolysans are normal oral flora that can also be pathogenic. We report 2 cases of adolescents with osteosarcoma who developed multiple pulmonary nodules associated with Gemella bacteremia. These nodules mimicked metastatic disease. To our knowledge, this manifestation of Gemella infection has not been previously reported. In the setting of malignancy, infectious pulmonary nodules must be distinguished from metastatic nodules in order to treat appropriately.