benign anorectal disease Flashcards
Which venous plexus around anus is painful
external venous plexus
Febrile patient
perianal abscess
VERY painful
fistula
List areas of abscess formation possible
1) perianal abscess
2) ischiorectal
3) intersphincteric
4) supralevator
- in pain
but dont see anything
intersphincteric abscess
which type of abscess can look horshoe like
peri anal abscess
2 amorphous red hard lumps away from bum and not discrete think
ischiorectal abscess spread
internal hemorrhoids are often
painless
COLONOSCOPY
External hemorrhoids can be
painful - due to thrombosis
pain with defecation, or becomes worse, blood on tissue
fissure
treatment of anal fissures
decrease sphincter tone - and allow more blood flow
- diltiazem/nitroglycerin
- botox
-
perianal abscess fistula disease, what proportion of patients develop fistula
37-50%