Bowel Habits And Bleeding Per Rectum

Question 1

Fresh blood would mean the lesion is where?

Answer 1

Distal (anal canal or rectum)

Question 2

Altered blood would mean the lesion is where?

Answer 2

Proximal lesion

Question 3

Hemorrhoids signs

Answer 3

Bleeding after defecation and lump coming out of anus

Question 4

Anal Fissures signs?

Answer 4

Blood streaks on stool

Question 5

IBD signs?

Answer 5

Blood and mucous diarrhea

Question 6

Diverticular disease signs?

Answer 6

Large volume of blood and painless

Question 7

Explain 1st degree hemorrhoids

Answer 7

No prolapse just prominent vessels

Question 8

Explain 2nd degree hemorrhoids

Answer 8

Prolapse but spontaneously go back in

Question 9

Explain 3rd degree hemorrhoids?

Answer 9

Prolapse and have to be pushed back in

Question 10

Explain 4th degree hemorrhoids

Answer 10

Cannot be pushed back in

Question 11

What is the dietary treatment for hemorrhoids

Answer 11

Increase fluids and fibers and do sports

Question 12

What is the office treatment for grades 1-2 hemorrhoid

Answer 12

Rubber Band Ligation

Question 13

What are Anal Fissures

Answer 13

Linear tears in the anal mucosa, exposing the internal sphincter

Question 14

Where are Anal fissures most common in men

Answer 14

Posterior midline

Question 15

Where are Anal Fissures most common in females?

Answer 15

Anterior midline

Question 16

Clinical picture of Anal Fissure

Answer 16

Bleeding, pain, spasm, constipation and discharge

Question 17

Acute Anal Fissure treatment

Answer 17

Spontaneous healing, and Sodium Tetradecyl sulphate

Question 18

Chronic anal fissure treatment

Answer 18

Lateral sphinctrotomy

Question 19

Colorectal cancer Barium enema scan shows?

Answer 19

Apple core deformity

Question 20

How do we assess staging and respectability of tumor?

Answer 20

CT and MRI scans

Question 21

Who are most common to have ischemic colitis

Answer 21

Elderly patients with CVD

Question 22

What is Diverticulosis?

Answer 22

Pouches coming out of the colon/intestine

Question 23

Diverticulosis is assessed via which classification?

Answer 23

Hinchey Classification

Question 24

Hinchey stage 1

Answer 24

Small confined abscess

Question 25

Hinchey stage 2?

Answer 25

Abscess extends into pelvis or other areas

Question 26

Hinchey stage 3?

Answer 26

Abscess is discharging liquids

Question 27

Hinchey stage 4?

Answer 27

Feces are discharging and everything has gone to shit

Question 28

Diagnostic procedure of choice for Acute Diverticulitis?

Answer 28

CT Scan

Question 29

Why is Endoscopy avoided in Diverticulitis?

Answer 29

Risk of perforation

Question 30

Hinchey stage 1 Diverticulitis treatment?

Answer 30

Bowel rest and antibiotics

Question 31

Hinchey stage 2 treatment?

Answer 31

CT guided drainage, and then surgical resection. Hartmann Procedure

Question 32

The most common cause of signification lower git bleeding is Diverticular hemorrhage, what’s the treatment?

Answer 32

Immediate resuscitation. If still unstable, Early Angiography

Question 33

Which people does ischemic colitis present in?

Answer 33

Elderly patients with CVD

Question 34

What are causes of rectal bleeding?

Answer 34

Hemerrhoids, anal fissure, diverticular disease

Question 35

Complications of hemorrhoids?

Answer 35

Strangulation, gangrene, thrombosis

Question 36

Colorectal cancer surgical treatment

Answer 36

Hemicolectomy