Rectoanal Disease Flashcards

1
Q

Where does the rectum begin?

A

At the entrance of the pelvic inlet

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2
Q

What are the 3 zones of the mucosa of the anal canal?

A
  1. cutaneous
  2. columnar
  3. intermediate
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3
Q

What are the 3 glandular areas?

A
  1. anal glands (fatty secretion)
  2. paranal sinus glands, which opens into
  3. paranal sinuses (anal sacs)
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4
Q

What are the muscles that compose the pelvic floor?

A

Levator ani and coccygeus muscles

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5
Q

What’s the function of the coccygeus muscles?

A

It compresses the rectum laterally

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6
Q

What’s the function of the rectoccocygeus muscle?

A

aid the circular muscle layer in moving the fecal column to the outside

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7
Q

What’s the sympathetic innervation of the colon, rectum, and anus?

A

via hypogastric nerve
L1-4, or L5 spinal segments
- inhibitory
- facilitatory to the inner circular sphincter

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8
Q

What’s the parasympathetic innervation of the colon, rectum, and anus?

A

via pelvic nerve
sacral spinal cord
- descending colon and rectum –> stimulatory, increases motility

Pedundal nerve
- external anal sphincter (relaxation)

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9
Q

How is the conscious perception of defecation relayed?

A

Afferent nerves from the rectal, sphincters, and perineum –> dorsal and lateral funiculi to the brainstem –> UPM regulation –> cerebral cortex for conscious perception

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10
Q

How does rectoanal issue effect the urinary system?

A

innervation of the rectum is similar to the urinary bladder –> so dysuria may be present too

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11
Q

What’s the most common cause of tenesmus in dogs and cats?

A

proctitis
no constipation!

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12
Q

Which hormones have been implicated in perineal herniation?

A

Relaxin and Growth Hormone

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13
Q

What’s the treatment for perineal hernia?

A

Castration - will also decrease the relaxin level, prostatic atrophy will increase make the pelvic entrance wider, easing defecation

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14
Q

Which breeds are predisposed to intestinal neoplaisa?

A

Collies and German Shepherds

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15
Q

What’s the typical signalment for perianal fistula?

A

German shepherds, 4-7yo

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16
Q

What’s the hormonal influence of perineal tumours?

A

it’s driven by testosterone (ie. intact males are more likely to have an adenoma)
suppressed by estrogen (ie. spayed females are more likely to have an adenoma)