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Internal vs external anal sphincter anatomy lesson! The internal anal sphincter (IAS) is an involuntary muscle while the external anal sphincter (EAS) is voluntary. The anorectal inhibitory reflex is where the IAS relaxes in response to rectal stretch via fecal matter, and then EAS pressure automatically increases. The brain can override this impulse by contracting the EAS to hold and store, which in turn facilitates the IAS to contract again. If the EAS is weak or has poor endurance/tone, this
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A substernal goiter, also known as a retrosternal goiter, is an enlarged thyroid gland that grows inferiorly and passes through the thoracic inlet into the thoracic cavity. A substernal goiter is generally defined as a thyroid mass that has 50% or more of its volume located below the thoracic inlet.
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