fistula Flashcards
main risk factor for anal fistula
CHRONES
if someone has an anal fistula whats important to do
check the location of the internal opening by doing a dre
in chornes what investigation is best for anal fistula
In Crohn’s disease anal fistulas are often deep/complex, with involvement the anal sphincter. MRI is the best investigation to characterise the course of the fistula as it shows soft tissue structures well.
examples of sinuse
pilonidal sinus
pre auricular sinus
examples of situlas
anal fistulas
colovesical
vesico vaginal
pancreaticocutaneous fistula
rf for fitsula
abscess
chrones
having a wound
chronic inflammation like chrones
foreign material
cutting of blood supply like in childbirth prolonged the pressure of the baby cuts off the tissues and they die pening a connection
prinicples of sinsu treatment
ensure adequate drainag
biopsy if concern over underlying diagnosi
principles of fistual treatment
ensure drainage
remove the fistula
biopsy if concern over underlying diagnosis
most common fitusla in women
vesico vaginal often causes by long lavour leading to incontenitnce
what leads to a pilonidal abscess
first you strat off with the sinus and then this gets blocked for somem reason leadin to the abscess
symptoms of pilonidal abscess
erianal lump
Pain
Pruritus
Discharge
Fever
What is the main complication of an untreated pilonidal abscess?
spesi
rf ffor pilonidal absecss
obese
FH
CHrones
sitting down for long periods
males
very thick hairy
symptoms of an anal fistula
dischargge and discomfort
symptoms of an anal fistula
dischargge and discomfort
