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Surgery 1 > Bowel Habits And Bleeding Per Rectum > Flashcards

Bowel Habits And Bleeding Per Rectum Flashcards

1
Q

Fresh blood would mean the lesion is where?

A

Distal (anal canal or rectum)

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2
Q

Altered blood would mean the lesion is where?

A

Proximal lesion

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3
Q

Hemorrhoids signs

A

Bleeding after defecation and lump coming out of anus

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4
Q

Anal Fissures signs?

A

Blood streaks on stool

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5
Q

IBD signs?

A

Blood and mucous diarrhea

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6
Q

Diverticular disease signs?

A

Large volume of blood and painless

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7
Q

Explain 1st degree hemorrhoids

A

No prolapse just prominent vessels

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8
Q

Explain 2nd degree hemorrhoids

A

Prolapse but spontaneously go back in

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9
Q

Explain 3rd degree hemorrhoids?

A

Prolapse and have to be pushed back in

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10
Q

Explain 4th degree hemorrhoids

A

Cannot be pushed back in

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11
Q

What is the dietary treatment for hemorrhoids

A

Increase fluids and fibers and do sports

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12
Q

What is the office treatment for grades 1-2 hemorrhoid

A

Rubber Band Ligation

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13
Q

What are Anal Fissures

A

Linear tears in the anal mucosa, exposing the internal sphincter

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14
Q

Where are Anal fissures most common in men

A

Posterior midline

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15
Q

Where are Anal Fissures most common in females?

A

Anterior midline

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16
Q

Clinical picture of Anal Fissure

A

Bleeding, pain, spasm, constipation and discharge

17
Q

Acute Anal Fissure treatment

A

Spontaneous healing, and Sodium Tetradecyl sulphate

18
Q

Chronic anal fissure treatment

A

Lateral sphinctrotomy

19
Q

Colorectal cancer Barium enema scan shows?

A

Apple core deformity

20
Q

How do we assess staging and respectability of tumor?

A

CT and MRI scans

21
Q

Who are most common to have ischemic colitis

A

Elderly patients with CVD

22
Q

What is Diverticulosis?

A

Pouches coming out of the colon/intestine

23
Q

Diverticulosis is assessed via which classification?

A

Hinchey Classification

24
Q

Hinchey stage 1

A

Small confined abscess

25
Q

Hinchey stage 2?

A

Abscess extends into pelvis or other areas

26
Q

Hinchey stage 3?

A

Abscess is discharging liquids

27
Q

Hinchey stage 4?

A

Feces are discharging and everything has gone to shit

28
Q

Diagnostic procedure of choice for Acute Diverticulitis?

A

CT Scan

29
Q

Why is Endoscopy avoided in Diverticulitis?

A

Risk of perforation

30
Q

Hinchey stage 1 Diverticulitis treatment?

A

Bowel rest and antibiotics

31
Q

Hinchey stage 2 treatment?

A

CT guided drainage, and then surgical resection. Hartmann Procedure

32
Q

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

A

Immediate resuscitation. If still unstable, Early Angiography

33
Q

Which people does ischemic colitis present in?

A

Elderly patients with CVD

Surgery 1 (21 decks)

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