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Flashcards in Anus and prostate Deck (34):
1

What is pain with defecation indicative of?

Hemorrhoids

2

What is the cause of the black coloration of melena?

protein

3

What are the other causes of black stool? (3)

Iron
Black licorice
Bismuth salts

4

What is the cause of hematochezia? (4)

colon CA
polyps
Diverticulitis
Hemorrhoids

5

What is screening?

Testing without symptoms

6

What is the second leading cause of death in men over 50?

Prostate CA

7

At what age does the risk of prostate cancer increase?

50

8

How is prostate cancer different in african americans? (2)

Earlier age
More advanced

9

What are the three requirements to screen anything?

Pose a risk
No symptoms
Have an intervention

10

What is the D grade for screening?

D for "don't do it"

11

What are the two screening methods for prostate ca?

PSA
Digital exam

12

When does colorectal CA screening begin?

at 50

13

What is lynch syndrome?

HNPCC

14

What is the recommendation grade for colorectal CA?

A

15

What are the three tumor "mimics" for female colon CA (things that feel like a mass, but is part of normal anatomy)?

Cervix
Retroverted uterus
Tampon

16

Why should you always look before doing a prostate exam?

See perianal abscesses and other things

17

What should you tell your pt before performing a digital rectal exam?

That they may have a feeling of urgency

18

What do you offer pts after the DRE?

Toilet paper

19

What are the three common findings with the prostate on a DRE?

Prostatitis
BPH
CA

20

What are the five common findings with the rectum on a DRE?

Anal fissures
polyps
CA
Hemorrhoids
Prolapse

21

What are the symptoms of prostatitis?

Dysuria
Frequency
nocturia
Hesitancy
Suprapubic pain
Painful ejaculation
Flu like symptoms

22

Why do you not do a DRE if you suspect prostatitis?

Spread the gram negative bacteria's toxins

23

What are the signs/symptoms of BPH?

Urgency
Frequency
Hematuria
(no dysuria)

24

Is a DRE useful for BPH?

Yes

25

What are the signs of BPH?

Enlarged prostate
No TTP
Hard
Symmetric

26

Is PSA useful for BPH?

No

27

What is the difference between prostate CA or BPH?

lack of symmetry

28

What is the cause of an anal fissure?

Straining, or constipation

29

What is the cause of an anal fistula?

infected anal gland, producing a chronic draining abscess

30

What is a bowel prolapse?

protrusion of the anal canal through the anus

31

True of false: biopsy is mandatory for anal polyps?

True

32

What is a anal pap?

Anal screening for HPV

33

What does a guaiac test, test for?

Heme--NOT iron

34

How sensitive/specific is DRE for prostate CA?

59% sensitive
94% specific