Term
| hemorrhoid class: bleeding occurs but do not prolapse |
|
Definition
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|
Term
|
Definition
| prolapse upon defecation but retract spontaneously, +/- bleeding |
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|
Term
| class: prolapsing & require manual reduction: |
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Definition
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|
Term
|
Definition
| permanently prolapsed, cannot be reduced due to strangulation |
|
|
Term
| why do hemorrhoids' veins have tendancies to vericose? |
|
Definition
| They have no valves; exerting maximal pressures at lowest point |
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Term
|
Definition
1. increased abd pressure
2. portal HTN
3. CHF |
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|
Term
| internal or external hemorrhoids painful? |
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Definition
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|
Term
| when hemorrhoidal bleeding is significant, consider: |
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Definition
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Term
|
Definition
1. increase fiber in diet
2. hydrocortisone cream
3. ligation
4. infra red photocoag
5. sclerotherapy
6. surgical hemorrhoidectomy |
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|
Term
| painful complication of external hemorrhoid: |
|
Definition
| thrombosed external hemorrhoid |
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|
Term
| describe thrombosed external hemorrhoid: |
|
Definition
1. violet discoloration of lesion
2. tense/shiney |
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Term
|
Definition
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|
Term
constipation or fecal incontinence in pts w spinal cord injuries, bedridden, stroke, narcotics (opiods)
could be a sign of: |
|
Definition
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|
Term
|
Definition
1-2 fleet enemas to soften stool then mineral oil enema
manual disimpaction |
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|
Term
| most common location of anorectal abcess: |
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Definition
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|
Term
| cause of perianal abcess: |
|
Definition
| blockage of the anal glands |
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|
Term
| anorectal abcess presentation: |
|
Definition
1. fvr, inflammation, pain
2. fluctuant mass |
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|
Term
| patients w intersphincteric or supralevator abcesses are more likely to present with: |
|
Definition
1. Fvr/pain
2. no obvious abnormality upon PE
3. tender mass may be felt on DRE |
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|
Term
| an ischiorectal abcess usually presents as: |
|
Definition
| a large tender fluctuant mass of the buttock |
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|
Term
| if the abcess is not treated properly then: |
|
Definition
| fistulous tract can develop |
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|
Term
|
Definition
|
|
Term
|
Definition
| tract from one epi layer to another |
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|
Term
| 5 causes of fistula in ano: |
|
Definition
1. anorectal abcess
2. Crohns
3. lymphogranuloma venereum
4. rectal TB
5. CA |
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|
Term
|
Definition
| guide to finding the internal opening of a fistula based on the external opening |
|
|
Term
|
Definition
| rubber band like material placed in the fistula tract in order to elicit an inflammitory rxn in tissue resulting in closure |
|
|
Term
| 99.9% success rate for fistula tx: |
|
Definition
| fistulectomy: unroofing the tract |
|
|
Term
| longitudinal cut in the anoderm causing painful linear ulcer at the margin of the anus: |
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Definition
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|
Term
| fissures that occur laterally think of: |
|
Definition
1. Crohn's
2. TB
3. syphilis
4. anal CA
5. leukemic ulcer
6. HIV related ulcer |
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|
Term
|
Definition
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|
Term
|
Definition
| 1. High fiber/fluid intake 2. Nitroglycerin cream 3. Calcium channel blocker (reduce internal anal sphincter spasms) |
|
|
Term
| standard tx for chronic anal fissure: |
|
Definition
| lateral anal sphincterectomy |
|
|
Term
| embryologic malformation resulting in neurocanal |
|
Definition
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|
Term
|
Definition
|
|
Term
| 3 predisposing factor to pilonidal cysts: |
|
Definition
1. Obesity
2. Body hair around area in question
3. sedentary lifestyle (sittn on butt) |
|
|
Term
| Diagnosis of pilonidal cysts: |
|
Definition
| observe pilonidal pores btwn gluteal cleft |
|
|
Term
|
Definition
1. Keflex or Augmentin
2. surgery (currative) |
|
|
Term
| HPV subtypes causing condylomata acuminata: |
|
Definition
|
|
Term
| HPV subtypes assoc w squamous cell CA: |
|
Definition
|
|
Term
| CDC stats for Homosexual men with condyloma acuminata: |
|
Definition
|
|
Term
|
Definition
1. excised (<10% recurrence)
2. podophyllin resin
3. electrocautery, cryo, lasers
4. interferon injections
5. imiquimod cream
#4/5 need LFT to monitor toxicity |
|
|
Term
| type of CA that make up the majority of all primary Ca of the anus: |
|
Definition
|
|
Term
| colorectal cancers are primarily: |
|
Definition
|
|
Term
|
Definition
1. local resection
2. Abdominoperineal resection
3. Radiation/Chemo
4. |
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