Anorectal Disease Flashcards
What are haemorrhoids?
Swollen and bleeding vessels in the anus
2 investigations for haemorrhoids?
PR exam
Sigmoidoscopy
3 treatments for haemorrhoids?
Band ligation
Sclerotherapy
HALO
What is a rectal prolapse and when does it appear?
Protruding anal mucosal mass from anus
During defecation
Rectal prolapse causes loss of anal tone. True/False?
True
Difference between partial or complete rectal prolapse?
Partial = anterior anus Complete = full anus
Treatment for partial and complete rectal prolapse?
Partial = diet or HALO Complete = Delorme's or rectopexy
What is an anal fissure and what is it associated with?
Tear in the anus
Crohn’s
Patients with anal fissure tend do be … and complain the pain feels like?
Constipated
Shitting glass
2 treatments for anal fissures?
Stool softener
GTN/diltiazem
What is fistula in ano?
Tunnel between anal canal and outside of anus
How does fistula in ano classically present?
Abscess formation
3 treatments for fistula in ano?
Drainage
Seton stitch
LIFT
Blood on toilet paper?
Haemorrhoids
Why is HALO the preferred method for haemorrhoids?
Doesn’t cause any pain