Colorectal

Question 0

Meckel’s diverticulum can be complicated or uncomplicated. What is the treatment for uncomplicated symptomatic diverticulum?

Answer 0

Diverticulectomy

Question 1

The cause of urinary retention s/p hemorrhoidectomy is

Answer 1

Muscle spasms of the pelvic floor

Question 2

Meckel’s diverticulum can be complicated or uncomplicated. What is complicated Meckel’s diverticulum and what is the treatment for it?

Answer 2

Complicated Meckel’s diverticulum: bleeding, diverticulitis, or wide base
Treatment: segmental resection

Question 3

Characteristics that favor a diagnosis of Crohn’s disease over ulcerative colitis include (11)

Answer 3

Cobblestone appearance, transmural involvement, skip lesions, fistulae, abscesses, creeping fat, granulomas, rectal sparing, fissures, anal involvement, and ulceration

Question 4

Is rectal sparing more common in Crohn’s disease or UC?

Answer 4

Crohn’s

Question 7

What should be done when terminal ileitis is identified on performance of lap appy?

Answer 7

As long as there is no cecal involvement, should proceed with appendectomy

Question 8

First line therapy for acute fissures is

Answer 8

Sitz baths and bran/bulking agents

Question 9

If a fissure becomes chronic, in addition to management for acute therapy, management includes? What if medical management fails?

Answer 9

Topical nitroglycerine or topical diltiazem
–limiting side effects for nitroglycerine are tachyphylaxis and headaches

If medical management fails, lateral internal sphincterotomy is recommended