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43 Cards in this Set
- Front
- Back
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what hemorrhoids are painful?
why |
external bc they are below the pectinate line
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what are the stages to hemorrhoids (5)
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small, no dialation
dialate with BM and go back in dialate with BM and can be pushed back in dialate with BM and can be pushed back in but wont stay cannot be reduced |
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hemorrhoids due to what are not treated with ligation
why |
portal HTN, you bleed out
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are strangulated hemorrhoids an emergency?
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yes
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what is the most common cause of hemorrhoids?
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Diet
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why would prego cause hemorrhoids?
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mechanical obstruction
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what vein comes off the portal system
what vein is the one involved in external hemorroids? |
superior rectal
inferior rectal |
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what are some tx for hemorroids
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change in diet, ligation, suppositories, ointment,
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when do you do a hemorroidectomy?
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stage 5 and strangulated hemorrhoids
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where are anal fissures most common?
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ant and pos mid-line
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in what location is an anal fissure usually associated with other problems?
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lateral midline
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why are anal fissures so painful?
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a lot of nerve fibers in that area.
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in what location is an anal fissure usually associated with other problems?
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lateral midline
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why are anal fissures so painful?
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a lot of nerve fibers in that area.
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in what location is an anal fissure usually associated with other problems?
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lateral midline
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why are anal fissures so painful?
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a lot of nerve fibers in that area.
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what are some common causes of anal fissures
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hard BM, trama, anal stenosis
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How do you aquire anal stenosis?
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tear and heal of the internal anal sphincter.
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what is the most common sx of anal fissures?
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pain with BM
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what are external thrombi a complication of?
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internal hemorrhoids
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what may result from passing a stool that is hard and strenuous
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external thrombi
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in what vein do clots tend to form in external thrombi?
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superior rectal vein
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someone stains a BM and has sudden onset of pain
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external thrombi
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what layers of the BV are damaged in external thrombi
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the inner and middle layer are gone and the outer layer is the protruding layer.
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what is the tx for external thrombi?
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leave alone but can make a small incision and extract the clot.
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what is a condyloma accumulata?
cause? |
wart
HPV-6 usually |
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how are condyloma accululata usully spread?
do you biopsy? |
direct contact
yes |
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are condyloma accumulata premalignant?
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yes, can lead to squamous cell cancer.
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what is the most common cause of puritis ani in children?
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pin worms
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how do you dx pin worms?
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tape test, look for eggs on tape
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what is the most common secondary reason for puritis ani?
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diet
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what is the tx for puritis ani?
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treat underlying cause.
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what are 2 types of rectal abssesses?
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infra and supra levator abssesses.
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what type of abscess leads to problems with bowel movements?
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ischio-rectal abscesses
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what are some sx of rectal abcesses?
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fever, pain, burning, leukocytosis
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what type of rectal abscess can lead to urinary problems?
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pelvi-rectal abscesses
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what is the immediate tx for all abscesses?
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incise and drain
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someone presents with cramping, distended and tender stomach, constipation or diarrhea. you think...
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irritable bowel
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what is the diff between a functional and organic bowel problem?
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functional is irritable bowel and organic is inflamm bowel
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If someone says their bowel problem keeps them up at night you think...
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inflam bowel disease
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irritable bowel is a dx of exclusion
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blank
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would you see colon spasms via endoscopy in someone with Irritable bowel dz?
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yes
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what is the most common type of peri-anal tumor?
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squamous cell
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