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6 Cards in this Set

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What are Haemorrhoids?
Anal cushions (spongy vascular tissue) lining the anus become displaced due to gravity, straining and altered anal tone.

They are vulnerable to trauma and bleed easily as are composed of capillaries.
Classifying (4)
1st degree: remain in rectum
2nd degree: prolapse through rectum on defecation but spontaneously resolve.
3rd degree: need digital reduction
4th degree: cannot be reduced

Can also classify haemorrhoids based on whether they are internal, external or mixed.
Differential diagnosis haemorrhoids?
Anal fissures (cause frank PR bleed)
Abscess
Tumour
Causes
Straining
Pregnancy
Pelvic tumour
CCF
Classify haemorrhoids into int, ext + mixed.
All depends on their origin in relation to the dentate line - originate above it = internal, below it = external, above and below = mixed.

Dentate line is the point of transition between anus and skin. Also called anocutaneous line.
Symptoms haemorrhoids?
Frank blood toilet paper or basin

Pruritis ani (anal itch)