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Webof a tethered cord, if present. 24 An imperforate anus may be a sign of a syndrome or may be an isolated finding. A VACTERL association includes vertebral/vascular, anorectal, car- diac, tracheoesophageal, radial/renal, and limb anomalies. It is also commonly seen with trisomies 18 and 21. Web{"group":{"id":10000141,"urlitem":"ics\/timer-ics","slug":"ics\/timer-ics","name":"Timer IC\u0027s","images":{"small":"images\/group\/small\/timer-ic-s-gcs-141.jpg ... WebHistorically, lower extremity nerve blocks have been less widely used than their brachial plexus counterparts. 1 Reasons may include the fact that anesthesia of the lower limb requires blockade of several different nerves, whereas neuraxial blocks can provide intraoperative anesthesia and postoperative analgesia with a single puncture site. clash for msc