Anorectal Disorders

Question 1

What is proctitis associated with?

Answer 1

C.diff
IBD

Question 2

What is anorectl abscess caused by?

Answer 2

E.Coli
Staphylococcus aureus

Question 3

What causess anal fistula?

Answer 3

Previous and-recal abscess, determined by goodsall rule

Question 4

What is associated with rectal intussceception?

Answer 4

Rectal wall in a gates in itself due to rectal prolapse

Question 5

What causes pruritus ani?

Answer 5

Itching of the skin a round ans
-> children it is worms
-> adults it ishaemorrhoids

Question 6

What is a solitary rectal ulcer caused by?

Answer 6

Syndrome of painful and difficult defecation, a sense of incomplete evacuation, and lower gastrointestinal bleeding associated with constipation.

Question 7

What will histology show for solitary rectal ulcer?

Answer 7

Histology shows mucosal thickening, lamina propria replaced with collagen and smooth muscle (fibromuscular obliteration) and ulcers

Question 8

Where are anal fissures located?

Answer 8

painful rectal bleeding
Location: midline 6 (posterior midline 90%) & 12 o’clock position. Distal to the dentate line

Question 9

Where are haemorrhoids located?

Answer 9

3, 7, 11 o’clock position

Question 10

What is the triad for chronic anal fissure?

Answer 10

Ulcer, sentinel pile, (skin tag at anal Canal enrance) enlarged anal papillae