Flashcards in Perianal disease Deck (11):
Symptoms of anal fissure?
· Sharp tearing pain when passing bowel motions
· Dull pain after for about an hr due to muscle spasm
Associated with bright red bleeding but less than haemorrhoids
causes of overt rectal bleeding
· Massive (diverticular disease or angiodysplasia)
-Small bowel causes
Tell me about haemorrhoids?
Haemorrhoids: have a non circumferential appearance when prolapsed
• Bright red bleeding
• Myriads of arterioles
• Usually normal, although in some people it will bleed or prolapse
• Straining with bowel movements
• Treated with increased fibre intake
• Typically is NOT associated with pain, unless the haemorrhoid is thrombosed
• A proportion of haemorrhoid patients= require ligation/banding and sclerotherapy
what venous abnormal structure could you see at the anus?
rectal varices subsequent to portal hypertension
what is the treatment of anorectal cancer?
•Radiotherapy and chemotherapy WITHOUT surgery
what is the differential causes for massive PR bleeding?
diverticular disease or angiodysplasia
what is the usual cause of anal warts?
INDICATIONS FOR COLONOSCOPY?
Indications for colonoscopy
1. rectal bleeding
2. change in bowel habit
3. iron def anaemia
simple treatment for anal fissures?
how many degrees are there for haemorrhoid classification?