GI - 12 Anus and Rectum Flashcards
Linear rocket shaped ulcer <5mm in length
Most in posterior midline
Anal fissure
Where are anal fissures usually found?
Posterior midline
Severe pain and tearing during defecation
Visual inspection of anal verge: crack in epithelium
Pain on rectal exam
Anal fissure
Treatment of anal fissures (2)
Stool Softeners or osmotic lax
Throbbing perianal pain
Erythema, fluctuance and swelling on exam
Perianal Abscess
Anal __ progresses into Anal ___
Anal abscess progresses into Anal fistula
If you see a fistula, consider it is a sign of
Crohn’s disease
Drug to treat fecal impaction
PEG
___ are a result of straining and pushing
Hemorrhoids
Bleeding usually with wiping
Prolapse, mucoid discharge, fullness
Internal Hemorrhoids
___ are literally a pain in the butt
Hemorrhoids