haemorrhoids Flashcards

1
Q

features

A

bright red PR bleeding
pruritus
protruding mass

pain - thrombosed haemorrhoid

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2
Q

risk factors

A

constipation
pregnancy
portal htn

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3
Q

Dx

A

anoscopic examination

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4
Q

Grade 1

A

no prolapse

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5
Q

grade 2

A

prolapse on straining

spontaneously reduces

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6
Q

grade 3

A

prolapse on straining

require manual reduction

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7
Q

grade 4

A

prolapsed

cannot be manually reduced

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8
Q

Mx - grade 1

A

conservative

+/- topical steroid for pruritus

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9
Q

Mx - grade 2

A

rubber band ligation *
sclerotherapy
infrared photocoagulation

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10
Q

Mx - grade 3

A

rubber band ligation

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11
Q

Mx - grade 4, external or fail to repond othre Rx

A

surgical heamorrhoidectomy

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12
Q

Mx thrombosed haemorrhoids

A

ice packs, laxatives, lidocaine gel

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