Anorectal Flashcards

1
Q

Perianal cauliflower growth

A

Condyloma acuminata

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2
Q

Incarcerated rectal prolapse, tx

A

Altemeier (perineal proctosigmoidectomy)

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3
Q

Septic s/p banding, dx and tx

A

Perianal sepsis, EUA and abx

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4
Q

Perianal condyloma acuminata, first line patient applied tx

A

Imiquimod, podophyllotoxin, sinecatechins

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5
Q

Perianal condyloma acuminata, first line clinician applied tx

A

Cryo, trichloroacetic acid, sx, laser

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6
Q

Punched out gray white perianal ulcer, dx and tx

A

Solitary Rectal Ulcer Syndrome (SRUS), conservative therapy

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7
Q

Hemorrhoid sx with highest recurrence but less pain

A

Stapled hemorrhoidectomy

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8
Q

Bleeding SCC anal canal, tx

A

Nigro protocol (5-FU, mitomycin, 30 Gy radiation)

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9
Q

Acute anal fissures, first line tx

A

Sitz baths, fiber, stool softeners

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10
Q

Superficial, transphincteric and intersphincteric simple fistula, tx

A

Fistulotomy and curettage

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11
Q

Local staging rectal cancer

A

MRI or Endorectal US

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12
Q

Stage I rectal Cancer, tx

A

Surgical resection (no need for neoadjuvant chemo)

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13
Q

External/internal sphincter innervation

A

Voluntary pudendal and 4th sacral nerve/involuntary autonomic

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14
Q

Thrombosed hemorrhoid within 4days, tx

A

Excision

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15
Q

Circumferential folds protruding from anus

A

Anorectal prolapse

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16
Q

Rectal prolapse with mult comorbidities, tx

A

Delorme (mucosal sleeve resection)

17
Q

Abscess post midline extending bilateral ischorectal fossae, dx and tx

A

Horshoe abscess, midline seton and lateral incisions

18
Q

Chronic fissures; tx

A

Lateral internal sphincterotomy

19
Q

Indication for surgery in anal SCC

A

Local-regional recurrence/persistence after chemorads

20
Q

Acute anal fissure tx

A

Bulking agents, fiber, sitz baths

21
Q

Chronic anal fissure tx

A

Topical nitrates or CCB followed by Botox