Proctology Flashcards
What is the left lateral Sims position?
Left side down
What is the anal canal?
Anus to anorectal line.
2.5-4 cm
What is the dentate line?
Anorectal line
What part is sensitive?
Distal to the dentate line.
What is outlet syndrome?
Pain below the dentate line.
What are the three muscles that make up the external sphincter?
Puborectalis and levator ani
What is the medial muscle?
Puborectalis
What muscle holds up the rectum?
Levator ani
What are the sphincter peaks?
Anal papilla
What are the sphincter valleys?
Anal valves
What are located behind the sphincter valves?
Crypts of orgagni
What does thrombosed mean?
Pain, protrusion.
Treated with sitz bath, stool softeners, lidocaine, suppositories, and steroids.
Lidocaine plus Marcaine and excise.
What are some characteristics of internal hemorrhoids?
Lots of bleeding, protrusion, discharge, and itching.
What percentage of bleeding from bowels comes from hemorrhoids?
75%
How do you treat internal hemorrhoids?
Sitz bath, stool softeners, lidocaine, suppositories, steroids, rubber band ligation, Sclerosing by injecting Phenol, cryotherapy, negative galvanic treatment and the use of electrodes.
