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Alimentory System > anorectal disorders > Flashcards

anorectal disorders Flashcards

1
Q

fucnito fo anorectum

A

contol of defication
mainatice of contience

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2
Q

parts of recutm

A

middle, superior and infairon

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3
Q

what differnation the parts of tecum

A

transverse recal foldss

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4
Q

what is the pectinate line

A

separte upper 2/3 and lower /1/3 of reum

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5
Q

signs of hemaoreis

A

bleeding, painless caused by rstinign

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6
Q

cause of heparoi

A

constiapiton

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7
Q

treatement for hemaoides non sergicla

A

local anethicand coric sterides
rubber abd ligation

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8
Q

serogical treatemtn of hemaorids

A

open haemoroidectomy - cutoff part of exernal hamroids
injected of scleosant
hameord arteyr litaigon - takes apwar ypart of arteyr
stapled heamoroidectomy - staping part of it foof - can lead to incostes

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9
Q

signs of an anal fissure

A

pain, bleeding, feels like passing glass spinters

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10
Q

treatent of anal fissure

A

treat consoption
give gtn/ diapopna dlignocaine

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11
Q

surgical treatment of anal fissure

A

botox
sphinecotmy

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12
Q

what condiatoin can cuase anal fissure

A

chrones / uc

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13
Q

what may periaanl fissue look like

A

anal calcner - as not able to duo full inspection due to pain

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14
Q

signs of perianal abdsees

A

excrutioaon pain
sepsis

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15
Q

who is liekly for perianl abces

A

dibetics, high mi, immuosupriona nd trama

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16
Q

treatment for perianal abscesss

A

antiboics if septic
insiconand draing

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17
Q

how are perianal abcess formeed

A

infecirton of a fisutl in the anus

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18
Q

signs of periangul fisruels

A

abces and heal fater the abses is dained

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19
Q

treatment of perianal fisurels

A

make open
seton - drain sepsi and mature tsact

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20
Q

what are the differ tisue spincter in the recutm from superi to inefore

A

supraspicter
transpsinger
interspicter
submosa

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21
Q

signs of anorecal cancer

A

pain
bleeding
indurated
red flag sympotons
fit test positive

22
Q

common invesgion for anorectl clcner

A

pr exame
protospy
sigmoidsocpy
colonsoph
ct colonospy
ct scan
mri rectum

23
Q

special scan for anoreclat dysfuciotn

A

colonic tansit dstues - time taken for stool to pass
anal recal mannmore - asses of external spicter
enodal USS
defection program
anoscpe
eua

24
Q

how is maily effecte by pelic flod dysfucoin

A

mainly women after childbirth
people who ahve had abuse

25
Q

catagoies of pelci floor dam

A

child birth
all other - including suryg, abuse , perianal spis,

26
Q

how do pelic floormucle change after childbrith

A

much thinner

27
Q

what re cause of chic consipation

A

diet
drugs
hishspurng
eds

28
Q

what is hishspung

A

missing part of nerves in colon, thus cause consitpaoin in areas

29
Q

what drugs can cuase condipaon

A

opoids
antimusucan
antidepres
anti phsyc
antispardic
ca supplments
ionr suplemtns
verapamil

30
Q

what testes should be done for conspation

A

defection procmgay
investion for hisprus/ eds
colonic imaging
baseline bloods- exclude anemai
symptomatic q fit
coeliac serolgy
feacel claprotion as approapte

31
Q

treament for chronic consotpation

A

laxatives
combiation of thrapry
serconary line durgs
0 proculopie
lubiprosoten

32
Q

treatmen for consipo ni ibs

A

linaclotide

33
Q

who gets proculopide and lubipostone

A

faile treatn with 2 regualr laxiative form differ glase at highest tdoes for 6 moths

34
Q

what irrigaion systems can be used for chronic constipation

A

peristeen iragio system
qufora irraion
anteriogaio irragion

35
Q

sergical opsion for slow transit

A

sigmodoi colectoy
substocal colecty

36
Q

types of feacle incotes

A

mixed - prolage
passive - interal spicater defect
urga - recall patholy
overflow - constipation

37
Q

what do ascess in feal incones testes

A

anorelc phyio
enodanl uss
defatino proctogram

38
Q

what to see in perianal assemst

A

peri anal skin - look for soling an lesion
look for perianla desent on baring down
resting anal sphciter tone - ever noral / reduce or lax
squeen ability
look for rectolcol , vigia bulging on rectal

39
Q

what is an anal manogmety

A

ballon inserina into anal to asces anal fuction

40
Q

what acan an anal mamorner mesur

A

resting preusre
squeeze increamion
duration of suqence
fucion length of anal canal
change in anal pressure during cogh and decfication
the anal recto inharo reflex

41
Q

what is teh differ in eaus in men and women

A

men can see deep art of eas where you cannot siee in womens

42
Q

purpose of eaus

A

to look for damge to anus

43
Q

eaus

A

endoanal ultasoudn scan

44
Q

managem fo fecal incontens

A

pelic floor exerices
low fiber diet
loperamdine
irriagaiton
anal plug

45
Q

surgial managle ment of fecal inconts

A

spicter reapir,
correct anatmoc dct
sacral nerve simualtion
anal bucigk i aggen

46
Q

rectocol

A

pastiv eloss of stool form being traped due to incomple excation

47
Q

cuaes of chornci pelivic pain

A

psycoloigal

positional

48
Q

treatmetn for choicn peliv pain

A

eua, pudenal nerve block , regual enemas

49
Q

what is pelivic mesh

A

treat pleic prolape and uriany incontesnce in women

50
Q

what type of thing is used for pelici mesh

A

bioloicl mesh

Alimentory System (31 decks)

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