Random GI surgery Flashcards
1
Q
Name a way a perianal abscess may present
A
- Pain around anus, worse when sitting
- Hardened tissue in anal region
- Pus discharge
2
Q
When an anal fistula is diagnosed, what investigation should be performed?
A
Pelvic MRI
3
Q
What is the management of acute anal fissures?
A
Bulk forming laxatives
4
Q
What is the management of chronic anal fissuers?
A
GTN
5
Q
1) What causes a Grey-Turner’s sign?
2) What causes a Cullen’s sign?
A
1) Retroperitoneal haemorrhage
2) Intra-abdominal haemorrhage
6
Q
What antibiotic is given for symptomatic perianal fistula?
A
Oral metronidazole
7
Q
What can be given to aid the closure and maintain the closure of a perianal fistula?
A
Infliximab (perianal fistula)
8
Q
What is the management of a complex perianal fistula?
A
Draining seton
9
Q
What is the investigation of choice for bowel perforation?
A
Erect CXR
