Colorectal Flashcards
Treatment of fissures
Topical vasodilator like GTN
Direct bowel stimulating laxative
Senna
Sodium picosulphate
Fecal calptotectin used to detect what
IBD
Rome criteria for
Ibd
Treatment of colonic pseudo obstruction
Neostigmine
By stimulation both muscarinic and nicotinic receptors
Feature of colonic pseudo obstruction
Rapid onset of generalised colonic contraction
Cause of brisk rectal bleeding from small erythematous colonic lesion
Angiodysplasia
Management is first presentation of Crohn’s disease
With IV steroids
Medical treatment is anal fissures
Topical diltiazem
Cause of painless blood stained mucus discharge after Hartmann’s procedure
Diversion proctitis
Small carcinoid<2cm confined to appendix
Discharge after appendicectomy
Fistula probing
Never during acute sepsis
Use of phenol for hemirrhoids
For only internal small hemirrhoids
Appropriate treatment procedure of bleeding hemirrhoids
Band ligation
Treatment of bleeding fissure
Nitrates or surgery
Colectomy in ulcerative colitis
Never pan procto colectomy during acute case
Standard first line treatment of anal cancer
Radical chemo radiotherapy
Cause of melanosis coli
Laxative abuse leading to lipofuscin laden macrophage
Investigation of heavy lower GI bleeding
Angiogram
Investigation of heavy lower GI bleeding
Angiogram
Cause of nocturnal diarrhoea and incontinence
IBD
Treatment of extensive rectal cancer invading prostate
Long course chemotherapy
Impalpable hemirrhoids
Grade 1& 2
Investigation after finding hemirrhoids
Always sigmoidoscopy
Conventional stoma after treating ulcerative colitis
End ileostomy
Which fistula obeys goodsalls rule
Intersphincteric
Treatment of fissure after failure with GTN
Botox
Duration of history of IBD
Short
Which type of colonic obstruction with electrolyte imbalance
Pseudo
Ogilvies syndrome
Chemo radiotherapy to squamous anal cancer
Sensitive
Treatment is reversal varice
IV Telipressin
TIPSS
Management is diverticular bleeding
Conservative
Where to use Bascom procedure
Pilonidal sinus
Treatment of fistula in Crohn’s disease
Loose Seton
Never lay open, never cutting seton
Treatment of fistula in Crohn’s disease
Loose Seton
Never lay open, never cutting seton