Congenital Nasolacrimal Duct Obstruction is a frequent occurrence in newborns. This article discusses the incidence, etiology and management of congenital nasolacrimal duct obstruction. Though surgical intervention may be needed at times, a conservative approach is often

Inflammation of the epididymis, or epididymitis, is commonly seen in the outpatient setting. Etiology and treatment are based on patient age and the likely causative organisms. Epididymitis presents as the gradual onset of posterior scrotal pain that may be accompanied by urinary symptoms such as dysuria and urinary frequency. Physical findings include a swollen and tender epididymis with the t...

Acute obstruction of the extrahepatic ducts causes gross proximal duct dilatation, and elevated levels of ornithine carbamyl transferase, bilirubin, and alkaline phosphatase. Slow progressive obstruction causes variable proximal duct dilatation and in these cases bilirubin, alkaline phosphatase, and ornithine carbamyl transferase return to normal, despite the presence of severe though incomplet...

Dr. Nelson has no financial or proprietary interest in the materials presented herein. doi: 10.3928/01913913-20141230-04 It is remarkable that what appears as a straightforward ocular condition, congenital nasolacrimal duct obstruction, lacks consensus among pediatric ophthalmologists in many aspects of its management. This was clearly demonstrated in the survey by Dotan and Nelson in this issu...

This revieuw article explored the nechanism of neural control of the senûnal tract and sperril transport through it, to approach the rational managenent of enissional dysfunction. The identification of retroperitoneal and intrapelvic syntpathetic nerves conrrolling senûnal enûssion frotn the ejaculatory duct (SEED), the conrpensatory pathways for SEED afier rransection of hypogastric nerve, the...