Perianal Disease Flashcards
What are the causes of massive acute rectal bleeds?
Diverticulitis
AV malformation
Which groups of people are likely iron deficient?
Malabsorption - coeliac
Menorrhagia
Occult GIT blood loss
Vegan (uncommon)
Alcoholics
What are haemorrhoids?
Inflamed arterioles/arterial structures
How does the blood appear in haemorrhoids?
Bright red on the paper or in the water
What are the interventions for haemorrhoids?
Increase dietary fibre
Increase fluid intake
Surgical removal
Rubber banding
How do people present with anal fissures?
Sharp pain during defecation, dull ache afterwards (due to muscle spasm)
Rectal bleeding
What colour is malignant blood typically?
Dark
What is the usual cause of anorectal cancer?
HPV
How does anorectal cancer managed?
Radio + chemotherapy
Not surgery