Anorectal Flashcards
Perianal cauliflower growth
Condyloma acuminata
Incarcerated rectal prolapse, tx
Altemeier (perineal proctosigmoidectomy)
Septic s/p banding, dx and tx
Perianal sepsis, EUA and abx
Perianal condyloma acuminata, first line patient applied tx
Imiquimod, podophyllotoxin, sinecatechins
Perianal condyloma acuminata, first line clinician applied tx
Cryo, trichloroacetic acid, sx, laser
Punched out gray white perianal ulcer, dx and tx
Solitary Rectal Ulcer Syndrome (SRUS), conservative therapy
Hemorrhoid sx with highest recurrence but less pain
Stapled hemorrhoidectomy
Bleeding SCC anal canal, tx
Nigro protocol (5-FU, mitomycin, 30 Gy radiation)
Acute anal fissures, first line tx
Sitz baths, fiber, stool softeners
Superficial, transphincteric and intersphincteric simple fistula, tx
Fistulotomy and curettage
Local staging rectal cancer
MRI or Endorectal US
Stage I rectal Cancer, tx
Surgical resection (no need for neoadjuvant chemo)
External/internal sphincter innervation
Voluntary pudendal and 4th sacral nerve/involuntary autonomic
Thrombosed hemorrhoid within 4days, tx
Excision
Circumferential folds protruding from anus
Anorectal prolapse