Guns dont kill......bulletpoints do           rossfisher
Na examinação Vista saudável Peso 31.9kg, > 91st centile Altura 142.5 cm, no 99.o centile Plataforma Pubertal A0, P2, ...
pointpresentation?
presentation   3
presentationpresentationpresentation
presentation1
presentation2
slideument      presentation2
presentation3
how to?
presentation1
presentation1
presentation1
imaginativepresentation2
presentation2
http://tinyurl.com/betterppt                    presentation2
presentation2
presentation3
how to?
Surgical outpatient assessment after referral for gastrostomy insertionFull feeding history     –   length of meal times, ...
Outpatient assessment for         gastrostomy insertion•   Full feeding history•   Exclude gastro-oesophageal reflux•   Ai...
Antegrade Continent Enema stomashown for age and diagnosis, 1997-2009                           0-5 years   5-10       10-...
ACE stoma shown for age and diagnosis                0-5 years   5-10 years   10-15 yearsChronic         6           37   ...
55%40%      5%
presentation3   5presentation
Guns dont kill......bulletpoints do           @ffolliet
Guns dont kill bulletpoints do
Guns dont kill bulletpoints do
Guns dont kill bulletpoints do
Guns dont kill bulletpoints do
Guns dont kill bulletpoints do
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Guns dont kill bulletpoints do

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A discussion of the problems of presenting with bulletpoints offering reasons why it may not work and thoughts of means of improving.

Guns dont kill bulletpoints do

  1. 1. Guns dont kill......bulletpoints do rossfisher
  2. 2. Na examinação Vista saudável Peso 31.9kg, > 91st centile Altura 142.5 cm, no 99.o centile Plataforma Pubertal A0, P2, G3-4 Mls do testis 2 e direita esquerdos um 8 mls pelo orchidometer de Prader Apresentação do GP? testes undescended bilaterais os eua/laparosocopy/endireitam a continuação deixada orchidopexy/3 do procedimento dos stephens do fowler da primeira fase, 3,6,12 meses
  3. 3. pointpresentation?
  4. 4. presentation 3
  5. 5. presentationpresentationpresentation
  6. 6. presentation1
  7. 7. presentation2
  8. 8. slideument presentation2
  9. 9. presentation3
  10. 10. how to?
  11. 11. presentation1
  12. 12. presentation1
  13. 13. presentation1
  14. 14. imaginativepresentation2
  15. 15. presentation2
  16. 16. http://tinyurl.com/betterppt presentation2
  17. 17. presentation2
  18. 18. presentation3
  19. 19. how to?
  20. 20. Surgical outpatient assessment after referral for gastrostomy insertionFull feeding history – length of meal times, – volume eaten, – nature of feeds and snacksHistory to exclude gastro-oesophageal refluxGeneral historyDiscussion detailing aim of interventionExplanation of possible complications and relatively likelihoodLong term prognosis and outcomes
  21. 21. Outpatient assessment for gastrostomy insertion• Full feeding history• Exclude gastro-oesophageal reflux• Aim of intervention• Risk of complications• Long term prognosis
  22. 22. Antegrade Continent Enema stomashown for age and diagnosis, 1997-2009 0-5 years 5-10 10-15 totals years yearsChronic Constipation inc 6 (15%) 37(40%) 40(45%) 83INDHirschsprung Disease 12 (7%) 72 (41%) 84 (52%) 168(Soave and Duhamel)Ano-rectal malformation 3 (2%) 45(45%) 51(52%) 99(High and Low)Neurological 16 (20%) 27(39%) 29 (41%) 62abnormalities (sacralagenesis, dysraphismand cerebral palsy)totals 37 (5%) 154 (40%) 204 (55%) 412
  23. 23. ACE stoma shown for age and diagnosis 0-5 years 5-10 years 10-15 yearsChronic 6 37 40 83ConstipationHirschsprung 12 72 84 168DiseaseAno-rectal 3 45 51 99malformationNeurological 16 27 29 62abnormalities 37 154 204 412
  24. 24. 55%40% 5%
  25. 25. presentation3 5presentation
  26. 26. Guns dont kill......bulletpoints do @ffolliet

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