haemorrhoids Flashcards
1
Q
features
A
bright red PR bleeding
pruritus
protruding mass
pain - thrombosed haemorrhoid
2
Q
risk factors
A
constipation
pregnancy
portal htn
3
Q
Dx
A
anoscopic examination
4
Q
Grade 1
A
no prolapse
5
Q
grade 2
A
prolapse on straining
spontaneously reduces
6
Q
grade 3
A
prolapse on straining
require manual reduction
7
Q
grade 4
A
prolapsed
cannot be manually reduced
8
Q
Mx - grade 1
A
conservative
+/- topical steroid for pruritus
9
Q
Mx - grade 2
A
rubber band ligation *
sclerotherapy
infrared photocoagulation
10
Q
Mx - grade 3
A
rubber band ligation
11
Q
Mx - grade 4, external or fail to repond othre Rx
A
surgical heamorrhoidectomy
12
Q
Mx thrombosed haemorrhoids
A
ice packs, laxatives, lidocaine gel
