Perianal disease Flashcards Preview

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Flashcards in Perianal disease Deck (11):
1

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

2

causes of overt rectal bleeding

· Anorectal
· Colorectal
· Massive (diverticular disease or angiodysplasia)
-Small bowel causes

3

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
• Constipation
• 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

4

what venous abnormal structure could you see at the anus?

rectal varices subsequent to portal hypertension

5

what is the treatment of anorectal cancer?

•Radiotherapy and chemotherapy WITHOUT surgery

6

what is the differential causes for massive PR bleeding?

diverticular disease or angiodysplasia

7

what is the usual cause of anal warts?

HPV

8

INDICATIONS FOR COLONOSCOPY?

Indications for colonoscopy
1. rectal bleeding
2. change in bowel habit
3. iron def anaemia
4. screening
5. surveillance

9

simple treatment for anal fissures?

topical anaesthetics
stool softeners
Sitz baths

10

how many degrees are there for haemorrhoid classification?

4

11

are haemorrhoids painful?

not usually unless they are thrombosed