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Flashcards in FINAL Deck (20)
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1
Q

What are the 4 ifs?

A

Learn, Try, Stay, Serve

2
Q

What is Prostadentia? Who does it happen to?

A

Entire lining slips down and out of rectum

Elderly patients without sphincter tone or SE of meds

3
Q

What is Proctalgia fugax? What condition is it associated with? What are some Risk Factors? How to Tx it?

A

Anal pain syndrome, sudden shooting pain in the anal rectal canal, often at night prior to going to bed, pain severe enough to make pt get up

Restless leg syndrome

Type A people, too much coffee, and food sensitivities

Mg, hot baths, NSAIDs

4
Q

What is Melanosis coli?

A

Black anal rectal canal (stain) cause by cascara or other stool softeners (senna, pepto bismol)

5
Q

What condition has intense burning pain after BM in posterior quadrant?

A

Anal Fissure

6
Q

What’s a cause of a Rectocele? What Tx improves it?

A

prolapse d/t multiple births/childbirth

Improved with pelvic floor and kegals

7
Q

In a DRE, what does cancer feel like?

A

Fixed (nonmobile), indurated (rough surface), firm, tumor (dark blood on gloved finger almost always), most likely nontender

8
Q

MC cause for bleeding from the rectum?

A

Internal hemorrhoids

9
Q

What Dx is this most likely change in bowel habits, appetite, weight loss, bloody stool?

A

Colorectal CA

10
Q

Anal fissures normally occur where? 2nd MC location?

A

Posterior quadrant

Anterior quadrant

11
Q

First best way to Tx an abscess?

A

I and D then by Abx (Reflex, Septra, etc., especially with DM)

12
Q

What is the Good sal salmon rule (GSSR)?

A

abscess or fistula begins in the crypt nearest to it

13
Q

If an Abscess burst and drains it becomes?

A

A fistula

14
Q

Where does a fistula start?

A

Crypts of Morgagni

15
Q

MC site for formation of abscess

A

crypts of morgagni

16
Q

Internal hemorrhoids are treated by what?

A

Negative galvanic electricity from a “Keeze” (spelling) machine.

17
Q

T/F can patients feel pain above the dentate line?

A

F just pressure

18
Q

What causes a skin tag?

A

A previous external thrombolytic hemorrhoid

19
Q

Draw LLD position with all 8 quadrants labeled.

A

Yay!

20
Q

Draw anal canal cross section including crypts of Morgagni, columns, papilla!

A

Wahoo!