Genitorectal conditions Flashcards
1
Q
Pilonidal Disease- Sx
A
- Abscess or draining sinus over sacrococcygeal or perianal region
- Pain, tenderness
- Purulent draining
- Induration
2
Q
Pilonidal- Tx
A
- Drain under local anesthesia
- Remove granulation tissue
3
Q
Hemorrhoids- Internal- Sx
A
- Painless BRBPR
- Mucus discharge
- Rectal fullness
- Discomfort
4
Q
Hemorrhoids- External Sx
A
- Sudden, severe perianal pain
- Peaks in 48-72 hrs
- Skin tag visible on exam- purple, black
5
Q
Hemorrhoids- Tx
A
- Band ligation- hemorrhoid sloughs away
- Sclerotherapy
- Excision
6
Q
Colorectal polyps- Sx
A
- Rectal bleeding
- Asymptomatic
- Palpable on DRE
7
Q
Colorectal polyps- Tx
A
- Polypectomy- endoscopic mucosal resection
8
Q
Anorectal fistula- Sx
A
- External opening into rectum
- Anal pain
- Bloody discharge
- Sepsis
9
Q
Anorectal fistula- Tx
A
- Collagen fistula plug or gap
- Gland ablation
10
Q
Anorectal abscess- Sx
A
- Mass on DRE
- Severe pain
- Swelling
- Sepsis, fever
- Urinary retention
11
Q
Anorectal abscess-Tx
A
Drain
