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Sick anal insertion

The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. Such consultations require the integration of medical and psychiatric knowledge. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss the diagnosis and management of conditions confronted. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry. Drs Unruh and Nejad and Mr Stern report no financial or other affiliations relevant to the subject of this article.
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Insertion of Foreign Bodies (polyembolokoilamania): Underpinnings and Management Strategies

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Anal Disorders

Anal sac disease is caused by clogging or infection of glands called anal sacs located on each side of the anus. It is the most common disease of the anal region in dogs. The anal sacs are related to the scent glands in skunks and produce a small amount of foul-smelling liquid. The liquid is normally squeezed out during defecation.
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The anus is that part of the intestinal tract that passes through the muscular canal of the pelvis and anal sphincters. It is the final orifice through which stool passes out of the body. In adults, the anus is 4 to 5 centimeters long. The lower half of the anal canal has sensitive nerve endings. There are blood vessels under the lining, and in its mid portion there are numerous tiny, anal glands.
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