Hemorrhoids Flashcards
Prolapsed Hemorrhoids differ from Thrombosed Hemorrhoids how?
Location… Prolapsed are internal only, whereas Thrombosed Hemorrhoids are external.
Margaret is an elderly pt. who comes into your Pharmacy complaining of bleeding & pain when defecating. What differential condition might she have that you should consider (aside from Hemorrhoids)?
Colorectal Cancer
What is the Colorectal Cancer risk for those who demonstrate new-onset rectal bleeds (>45yrs age)?
2.4-11%
What fecal color might suggest Colorectal Cancer (rather than acute bleeds due to Hemorrhoids)?
Dark Red… Bright Red suggests acute nature.
Colton comes into the Pharmacy complaining of an increased urge to crap, increased stomach pain & blood presence in his feces. What condition might he have?
Proctitis
Hemorrhoids peak between what ages?
45-65yrs
If a patient comes in describing blood in the feces, what is our first response (Tests or OSCE’s)?
IMMEDIATE REFERRAL!!!
Without therapy, thrombosed hemorrhoids should improve within how many days?
2-3d
What treatments can we suggest for hemorrhoids?
-Dry Skin Lotion (prn)
-Cleanliness Promotion
-Pressure off area
-Hamamelis Water
-Anusol Sup. / Ointment
How do Anusol Suppositories differ in application from Ointment?
Sup: BID + post-BM
Oint: Q4H
Why does Jeff hate on Preparation H products for use in hemorrhoid cases?
Claims of wound shrinking / healing
Prep H PE Gel is bullshit for hemorrhoid treatments… Why?
PE = Phenylephrine… PE only works with fully functional tissues.
HC 0.5-1% good for hemorrhoids?
Meh… Same thing as PE (will it work with damaged tissue?).
Hemovel Oral Agents good for hemorrhoids?
If you said yes, why the fuck are you even in Pharmacy school (how is it going to get to damaged anal tissues)?
Are Anusol or Preparation H products safe in pregnant women?
Absolutely
