Perianal surgery Flashcards
what is the squamomucosal junction called?
dentate line
what is the presentation of perianal haematoma?
tender blue lump at the anal margin
Pain worsened by defecation or movement
what is Proctalgia Fugax
Crampy anorectal pain, worse @ night
Unrelated to defecation
Assoc. ̄c trigeminal neuralgia
what infection causes perineal warts Condylomata accuminata?
HPV
what infection causes perineal warts Condylomata lata?
Syphilis
what is the treatment for syphilis?
penicillin
at what positions do haemorrhoids usually occur?
3, 7, 11 o’clock
what are the symptoms of haemorrhoids?
Fresh painless PR bleeding Bright red
Pruritis ani
Lump in perianal area
can you feel haemorrhoids on DRE?
can’t palpate piles unless thrombosed
what surgery canbe done for haemorrhoids?
Haemorrhoidectomy
what medication can be used for haemorrhoids?
topical hydrocortisone
topical analgesia
laxatives
what are the two classifications of fistula in ano?
High: cross sphincter muscles above dentate line
Low: don’t cross sphincter muscles above dentate line
what systemic conditions are perianal abscesses associated with?
Crohn’s
DM
Malignancy
what infection is associated with rectal carcinoma?
HPV (16, 18, 31, 33)
what carcinoma is most common for anal carcinoma?
SCC
