FINAL Flashcards
What are the 4 ifs?
Learn, Try, Stay, Serve
What is Prostadentia? Who does it happen to?
Entire lining slips down and out of rectum
Elderly patients without sphincter tone or SE of meds
What is Proctalgia fugax? What condition is it associated with? What are some Risk Factors? How to Tx it?
Anal pain syndrome, sudden shooting pain in the anal rectal canal, often at night prior to going to bed, pain severe enough to make pt get up
Restless leg syndrome
Type A people, too much coffee, and food sensitivities
Mg, hot baths, NSAIDs
What is Melanosis coli?
Black anal rectal canal (stain) cause by cascara or other stool softeners (senna, pepto bismol)
What condition has intense burning pain after BM in posterior quadrant?
Anal Fissure
What’s a cause of a Rectocele? What Tx improves it?
prolapse d/t multiple births/childbirth
Improved with pelvic floor and kegals
In a DRE, what does cancer feel like?
Fixed (nonmobile), indurated (rough surface), firm, tumor (dark blood on gloved finger almost always), most likely nontender
MC cause for bleeding from the rectum?
Internal hemorrhoids
What Dx is this most likely change in bowel habits, appetite, weight loss, bloody stool?
Colorectal CA
Anal fissures normally occur where? 2nd MC location?
Posterior quadrant
Anterior quadrant
First best way to Tx an abscess?
I and D then by Abx (Reflex, Septra, etc., especially with DM)
What is the Good sal salmon rule (GSSR)?
abscess or fistula begins in the crypt nearest to it
If an Abscess burst and drains it becomes?
A fistula
Where does a fistula start?
Crypts of Morgagni
MC site for formation of abscess
crypts of morgagni
