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Flashcards in minor anal conditions Deck (17):
1

Vascular condtions?

Piles
Thrombosed perianal varix
(‘perianal haematoma’)

Rarely
Anorectal varices
Odd things
 

2

types of piles?

internal hemorrhoid

prolapsed internal hemorrhoid

anal sphincter

thrombosed external hemorrhoid

3

symptoms?

Bleeding
Bright red
Into pan, may splatter
Lump
Itching
(Pain)

4

consequences?

Skin tags
Misdiagnosis of co-existing cancer…

Rarely
Acute prolapse/ strangulation/ infarction
Anaemia
 

5

classificiation?

1st degree – bleeding only
2nd degree – bleeding & prolapse (reduce spontaneously)
3rd degree – prolapse (manually reduced)
4th degree – permanently prolapsed

6

treatment?

Non-operative
Stool softeners/ fibre &c.
Outpatient therapies
Banding/ sclerotherapy

Operative
‘Traditional’ haemorhoidectomy
PPH (stapled) heamorrhoidectomy

7

anorectal abscesses and fistulas?

spread of infection from surrounding glands

8

symptoms of abscess?

Pain
Swelling
Discharge
Sepsis

9

treatment of abscesses?

Control of sepsis
Drainage
Usually operative
Antibiotics
Especially diabetics, immuno-compromised

10

areas affected?

A image thumb
11

fistula symptoms?

Itching/ discomfort
Discharge/ soiling
Bleeding

12

fistular treatment?

Principles
Define primary tract
Drain secondary sepsis…

Surgical treatment of track
Seton drainage
 

13

fistular surgical sieve?

Neoplastic  types- glandular, squamous, (melanoma)
Traumatic
Autoimmune
Metabolic
Endocrine
Drugs-   Nicorandil assoc. ulcers
Inflammatory- Inflammatory bowel disease
Cryptogenic
S

14

fissure symptoms?

Pain on defecation
Bleeding
Skin tag/ lump

15

fissure treatment?

Non-operative
-Stool softeners
-Analgesics, inc. topical Lidocaine

-Relaxants for sm spasm

  • GTN

Diltiazem
Botox

16

other condtions?

Skin conditions
Pruritis ani
Lichen sclerosis
Bowens disease

Anal warts

Rectal prolapse
Solitary rectal ulcer syndrome
Continence

17