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*GI - anorectal > anal fissure > Flashcards

anal fissure Flashcards

1
Q

what is an anal fissure?

A
  1. anal fissure is split in the lining of the anal canal

2. hard, faecal mass tears the mucosa

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2
Q

typical clinical presentation (2)

A
  1. young adult with sudden onset pain after defecation

2. blood on toilet paper

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3
Q

Conservative mx

A
  1. high fibre diet and stool softeners
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4
Q

Medical mx ( FIRST LINE )

A
  1. Chemical sphincterectomy
    - glyceryl trinitrate
    - botulinium injection
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5
Q

Surgery mx

A

Lateral internal sphinterctomy

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*GI - anorectal (14 decks)

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