Anal problems Flashcards
(12 cards)
What are examples of peri-anal disorders (5)
Haemorrhoids
Fissures
Fistulas
Solitary rectal ulcer
Chronic anal pain
what is the clinical presentation of anal haemorrhoids (4)
pain
Blood, pus, and mucus
Tenesmus
Itch
How are anal haemorrhoids graded (4)
not bleeding out
Bleeding in and out
Bleeding pushed back in
Bleeding out all the time
How are anal haemorrhoids managed (3)
diet lifestyle
Treatments
Banding
What are fissures in ano (2)
Chronic tissues which expose muscle
and result in a sentinel tag and a hypertrophied papilla
How can anal fissures be managed
High fibre diet
Laxido
Stitz bath
GTN
Diltiazem
Botox
Stretch/dilation surgery
Lateral internal sphincterotomy
Tag pasty
What are the types of anal fistulas
extra-/supra-/trans-/inter-sphincteric
Submucosal
What are the ways of managing anal fistulas (5)
laying open
Setons
Permacol paste/plug
VAAFT
LFIT
What are solitary rectal ulcers associated with (3)
straining
Prolapse
Disordered evacuation
What is used to treat solitary rectal ulcers
nicorandil
How is chronic anal pain managed (4)
proctoscopy
Sigmoidoscopy
Amitriptyline
Pain killers
