Genitorectal conditions Flashcards Preview

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Flashcards in Genitorectal conditions Deck (11):
1

Pilonidal Disease- Sx

- Abscess or draining sinus over sacrococcygeal or perianal region
- Pain, tenderness
- Purulent draining
- Induration

2

Pilonidal- Tx

- Drain under local anesthesia
- Remove granulation tissue

3

Hemorrhoids- Internal- Sx

- Painless BRBPR
- Mucus discharge
- Rectal fullness
- Discomfort

4

Hemorrhoids- External Sx

- Sudden, severe perianal pain
- Peaks in 48-72 hrs
- Skin tag visible on exam- purple, black

5

Hemorrhoids- Tx

- Band ligation- hemorrhoid sloughs away
- Sclerotherapy
- Excision

6

Colorectal polyps- Sx

- Rectal bleeding
- Asymptomatic
- Palpable on DRE

7

Colorectal polyps- Tx

- Polypectomy- endoscopic mucosal resection

8

Anorectal fistula- Sx

- External opening into rectum
- Anal pain
- Bloody discharge
- Sepsis

9

Anorectal fistula- Tx

- Collagen fistula plug or gap
- Gland ablation

10

Anorectal abscess- Sx

- Mass on DRE
- Severe pain
- Swelling
- Sepsis, fever
- Urinary retention

11

Anorectal abscess-Tx

Drain