Hemorrhoids

Question 1

Hemorrhoidal veins are normal anatomic structures located in the _______
layer of the lower rectum that enlarge.

Answer 1

submucosal

Question 2

risk factors

Answer 2

constipation, advancing age, prolonged sitting, and straining during defecation.

Question 3

Among patients with hemorrhoids, __% are asymptomatic

Answer 3

40

Question 4

cxfx

Answer 4

The most common symptom is bleeding; patients may also report itching, burning, and pain.

Question 5

DX. ussual and most accurate

Answer 5

clinically but the most accurate test is anoscopy

Question 6

Initial treatment

Answer 6

dietary management (oral hydration, stool softeners, increased fiber intake) +

sitz baths and topical steroids

Question 7

tx If conservative

measures fail

Answer 7

rubber band ligation of internal hemorrhoids is indicated

Question 8

If ligation fails, the next step is

Answer 8

surgical hemorrhoidectomy.

Question 9

Acutely thrombosed external hemorrhoids can be treated by

Answer 9

excision if the patient presents within the first 3 days of symptoms. Otherwise, supportive care is indicated.

Question 10

Hemorrhoid Location. classification

Answer 10

External: distal to the dentate line
Internal: proximal to the dentate line