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Gastroenterologie > 26. Hämorrhoiden > Flashcards

26. Hämorrhoiden Flashcards

1
Q

(Hämorrhoiden)

Klassifikation

A

nach Goligher

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2
Q

(Hämorrhoiden)

Klassifikation nach Goligher (4)

A

Grad I: Blutung ohne Prolaps

Grad II: Prolaps bei der Defäkation mit spontaner Retraktion

Grad III: Prolaps bei der Defäkation ohne spontane Retraktion

Grad IV: Analprolaps

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3
Q

(Hämorrhoiden)

Differenzialdiagnose

A

Mariske

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4
Q

(Hämorrhoiden)

Mariske: Leitbefund

A

schmerzloses Hautläppchen am Analrand

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5
Q

(Hämorrhoiden)

Definition

A

Vergrößerung des Plexushämorrhoidalis superior (Corpus cavernosum recti)

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6
Q

(Hämorrhoiden)

Hämorrhoidalleiden: Definition

A

symptomatische Hämorrhoiden

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7
Q

(Hämorrhoiden)

Leitsymptom

A

transanale Blutung

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8
Q

(Hämorrhoiden)

andere Symptome (3)

A
  • Pruritus
  • Schmerzen
  • Stuhlschmieren
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9
Q

(Hämorrhoiden)

Bildgebung der Wahl

A

Proktoskopie

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10
Q

(Hämorrhoiden)

Therapiemöglichkeiten (3)

A
  • symptomatische
  • interventionelle
  • operative
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11
Q

(Hämorrhoiden)

symptomatische Therapie (2)

A

Salben oder Suppositorien (Analzäpfchen)

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12
Q

(Hämorrhoiden)

interventionelle Therapie: Entscheidung (4)

A

Grad I: Sklerosierung

Grad II: Gummibandligatur

Grad III: Laser-Hämorrhoidoplastie

Grad IV: Radiofrequenzablation

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13
Q

(Hämorrhoiden)

operative Therapie: Indikationen (2)

A
  • Versagen konservativer Maßnahmen
  • Hämorrhoidalleiden Grad III-IV ohne Inkarzeration oder Thrombosierung
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14
Q

(Hämorrhoiden)

operative Therapie: Entscheidung (2)

A
  • segmentärer Befund
  • zirkulärer Befund
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15
Q

(Hämorrhoiden)

operative Therapie segmentären Befunds

A

segmentäres Verfahren

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16
Q

(Hämorrhoiden)

operative Therapie zirkulären Befunds (2)

A

III: zirkuläres Verfahren

IV: segmentäres Verfahren

Gastroenterologie (36 decks)

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