Pc Flashcards

1
Q

DDX Faecal incontinence

A
Incontinence with abnormal sphincter
- sphincter defect: obstetric, previous anorectal surgery, perineal trauma
- neuropathic sphincter: Lower MND eg stretch pudendal, diabetes, demyelination. UMN disease eg stroke, cerebral tumour, demyelination
Rectal prolapse
Anorectal/pelvic cancer
Congenital anorectal Abn
Incontinence with normal sphincter
Faecal imp action
Severe diarrhoea
Dementia or mental retardation
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