Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

PHAR154 > Hemorrhoids > Flashcards

Hemorrhoids Flashcards

(47 cards)

Start Studying
1
Q

Differentiate between internal and external hemorrhoids.

A

internal:
-inside the anal tract
-can be asymptomatic
-when it falls, people feel a bulge (can be pushed up)
external:
-on anal rim
-more painful
-vessels have lost structure + value and are pushing into
undesired areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the symptoms of hemorrhoids?

A

bleeding
itching
swelling
feeling of fullness in colon
seepage
pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which type of hemorrhoids can thrombose?

A

both external and internal
very painful as blood clots are there
can burst and pain will be gone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which type of hemorrhoids can prolapse?

A

internal hemorrhoids
hemorroid prolapses off internal walls into anal sphincter and stays there

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

True or false: of all hemorrhoid complaints seen at MD office, 95% were actually hemorrhoids

A

false
50% were something else

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the main characteristics of colorectal cancer?

A

BLEEDING
PAIN
more common with age
change in bowel habits (constipation or diarrhea)
stools narrower than usual
GI discomfort (bloating, cramps)
unexplained weight loss
very tired
more likely as you age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which colour of blood in stool is more indicative of colorectal cancer?

A

bright red (acute)
very dark stool means there is likely a bleed further up the GI tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Can we figure out if someone has an anal polyp? What is usually done when one is discovered?

A

we will not be able to figure out (found only via scope)
removed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are anal fissures?

A

small tears on the anal canal
common (even in kids)
seen in ~20% of hemorrhoid sufferers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is anal itch caused by?

A

commonly via hemorrhoids
seepage
poor hygiene
some skin conditions
irritation via diarrhea (often seen with IBS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the second most common anal symptom?

A

anal itch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

True or false: anal fissure concurrently seen with hemorrhoids are indistinguishable from eachother

A

false
100% distinct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is proctitis?

A

inflammation of the rectal region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the symptoms of proctitis?

A

severe pain and cramps
severe bleeding
mucous/discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the causes of proctitis?

A

infections
trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the risk factors for hemorrhoids?

A

low fiber/straining
pregnancy
prolonged standing
chronic diarrhea or constipation
heredity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What happened to a patient who was experiencing severe pain from hemorrhoids and then suddenly, the pain is gone?

A

the hemorrhoid burst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How long does it take for hemorrhoids to heal on their own?

A

~4 days
most hemorrhoids heal on their own

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is a full stop for us during a hemorrhoids consult?

Study These Flashcards
A

presence of blood
we cannot afford to make mistakes
PLAY BY THE BOOK

20
Q

When hearing “presence of blood”, what are the three things we need to know?

Study These Flashcards
A

amount (ex: on TP? on underwear? in toilet?)
frequency
other symptoms

21
Q

True or false: most hemorrhoids heal on their own

22
Q

How long does it take untreated thrombosed external hemorrhoids to heal?

23
Q

What are some things that can be done post-BM to improve cleanliness to try prevent hemorrhoids?

Study These Flashcards
A

timing of shower (after #2)
dry skin lotion PRN
commercial preps

24
Q

True or false: sitz baths are needed for most hemorrhoid sufferers

25
When are sitz baths commonly used?
post-surgery
26
Aside from cleanliness, what is another strategy to try relieve pain from hemorrhoids?
taking pressure off area PRN by laying on stomach
27
What can you attempt to do for a prolapsed tissue?
push it back in *dont try push in an external one*
28
What is the go to product for hemorrhoids?
Anusol (zinc sulfate in base)
29
What dosage forms does Anusol come as?
suppository ointment (internal or external) *both are lubricating* *let the patient decide*
30
What is the extra ingredient found in AnusolPlus? Would you recommend this product?
pramoxine probably wont recommend because we have little faith that it will anesthetize *let patient decide*
31
What are the directions of use for Anusol suppositories? What about the ointment?
suppositories: insert BID (am and hs) + post-BM ointment: apply Q4h (esp post-BM) -overkill is fine, wont do any damage
32
Why do we not recommend Preparation H for hemorrhoids?
it claims wound healing and shrinking of tissue -none of the ingredients are designed to do this
33
What do we make of the Preparation H gel product that contains phenylephrine and hamamelis water?
gel not desired (faster dissipating, less TLC in anal area) PE wont do anything for the swelling
34
Is the addition of hydrocortisone 0.5% to Anusol a valuable addition?
no the plain products are good enough HC 0.5% is the weakest of the weak *we have to prescribe*
35
What do we make of an oral agent like Hemovel or Venixxa for treating hemorrhoids?
dont recommend highly unlikely that an oral agent can hit the anal area
36
What is Proctofoam and when is it used?
foam that is inserted rectally, pushes against hemorrhoid and delivers reasonably potent steroid for post-surgery
37
What is Proctosedyl?
a hemorrhoid agent that contains lots, overkill -HC 0.5% -framycetin (antibiotic) -cinchocaine (anesthetic) -esculin 1% (emollient) *THE VAST MAJORITY OF HEMORRHOIDS DONT NEED ANTIBIOTICS*
38
Which topical analgesic should never be used for hemorrhoids?
A535 (it will irritate)
39
True or false: while constipation may be evident with hemorrhoids, laxatives will provide acute relief
false
40
True or false: it is not unusual to develop hemorrhoids during pregnancy
true Anusol is a good option
41
How common are hemorrhoid recurrences?
reasonably common
42
How long does it take for hemorrhoids to get better?
3-4 days 7 days max, worry after this
43
When do we refer for hemorrhoids?
*WHEN WE ARE UNSURE* blood in stool unintentional weight loss persistent change in bowel habit first time
44
How common is hemorrhoids in pregnancy?
up to 50% of women develop hemorrhoids during pregnancy
45
When do we refer for hemorrhoids in pregnancy?
presence of blood
46
Do all hemorrhoid sufferers experience symptoms?
no
47
What is fecal ocult bleeding?
GI bleeding that is not apparent/visible to the patient -very dark stool

PHAR154 (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions