Clinical Proctology Flashcards
1
Q
Dentate line
A
Anaodermorectal junction
2
Q
Longitudinal folds proximal to the dentate line
A
Columns of Morgagni
3
Q
Hemorroid stages
A
- Do not prolapse
- occasionally prolapse + spontaneously reduce
- prolapse w/ straining and require manual reduction
- remain partially prolapsed
4
Q
Hemorrhoid Tx
A
- SclerpTx
- Cryposurgery
- Dietary change
- banding
- hemorrhoidectomy
5
Q
Tenesmus
A
Constant urge to poop
6
Q
Preferred treatment for refractory symptomatic internal hemorrhoids
A
Rubber band ligation
7
Q
Perianal infection location in patients with rectal pain and systemic symptoms
A
Supralevator abcess
8
Q
Fissure-in-Ano
A
VERY Painful clear punched-out linear ulcer at the margin of the anus
9
Q
Two major types of Anal malignancy
A
- Epidermoid carcinoma
- Malignant Melanoma
10
Q
Condyloma Accuminata
A
- Anal Warts
- HPV
- Homosexual men or Anal receptive women
- Morph: Easily bleeding and malodorous warts
- Tx: Bichloacetic acid, crytoTx, electrocoagulation, laserTx, immunoTx, etc
11
Q
- vesicles progressing to ulceration on anus/genitals
- inguinal lymphadenopathy
- Tenesmus + pain; hematochezia
A
Chlamydia
12
Q
Chlamydia Diagnosis/Tx
A
microimmunofluorescent antibody titer; sometimes complement fixation
Tx: Tetracyclines
13
Q
- Thick mucopurulent anal discharge
- pruritis, tenesmus, + hematochezia
A
Gonorrhea
14
Q
Very painful Chancre at anal margin
Diagnosis/Tx
A
Syphillis; Penicillins or tetracyclines
