Benign Colon Disorders

Question 1

drugs associated w/ constipation

Answer 1

• opiates
• anti-ACh
• anti-depressants
• anti-convulsants

Question 2

metabolic causes of constipation

Answer 2

• hypOthyroidism

- hypERcalcemia

Question 3

GI tract abnormalities causing constipation

Answer 3

• colon cancer (L-sided usu, R side is more compliant)
• external compression (malignancy)
• stricture
• post-surgical stricture
• HIrschsprung

Question 4

colonic diverticulosis is associated with low ___ intake

Answer 4

fiber

Question 5

diverticulosis mostly on ___ side of colon

Answer 5

left

Question 6

colonic diverticulosis

Answer 6

herniations of mucosa and submucosa of colon through muscularis

(penetrating vasa rectae - weak pts)

Question 7

colonic diverticulosis

manifestations

Answer 7

most asymptomatic, intermittent abd pain/bloating

Question 8

most common surgical emergency

Answer 8

appendicitis

Question 9

internal hemorrhoids are covered by

Answer 9

mucosa

Question 10

external hemorrhoids are covered by

Answer 10

perianal skin

Question 11

FODMAPS

Answer 11

fermentable
oligosaccharides
disaccharides
monosaccharides
and
Polyps

Question 12

pathogenesis of hemorrhoids

Answer 12

downward pressure during defecation

muscle fibers anchor hemorrhoids loosen

Question 13

which hemorrhoids are painful

Answer 13

external and thromsed

Question 14

anal fissures are associated with which OBD

Answer 14

Chron’s disease, carcinoma

Question 15

chronic anal fissure

Answer 15

hypertrophic anal papilla at proximal end

sentinel tag at lower end

Question 16

painful anorectal disorders

Answer 16

• external hemorrhoids
• anal fissure
• perianal abscess
• +/- perianal fistuia

Question 17

painless anorectal disorders

Answer 17

-internal hemorrhoids

+/- fistula