{"id":5121,"date":"2011-07-14T20:23:38","date_gmt":"2011-07-14T20:23:38","guid":{"rendered":"http:\/\/crashtext.org\/misc\/5121.htm\/"},"modified":"2023-12-21T11:12:24","modified_gmt":"2023-12-21T16:12:24","slug":"anorectal-disorders-proctology","status":"publish","type":"post","link":"https:\/\/crashingpatient.com\/medical-surgical\/anorectal-disorders-proctology.htm\/","title":{"rendered":"Anorectum Disorders and Proctology"},"content":{"rendered":"
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WASH (warm sitz, analgesics, stool softeners, high fiber)<\/p>\n
Send them home with a bedpan so they can take Sitz<\/p>\n
Anusol HC suppositories or cream<\/p>\n
Colace 100 tid<\/p>\n
Senna 2 tabs po QHS and\/or Metamucil 1 tbl TID-QID<\/p>\n
Pontocaine\/Rupercaine ointments<\/p>\n
give them 5% lidocaine and tell them to put it on 10 min before BM<\/p>\n
Also tell them to apply shaving cream right before the BM<\/p>\n
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only drain if within 48 horus or at most 72 hours<\/p>\n
cut out an ellipse of skin with iris scissors<\/p>\n
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should be at 6 or 12 o’clock outside of crohns<\/p>\n
8 cups of water per day<\/p>\n
Citrucel Powder<\/p>\n
Magnesium tablets (calcium is constipating, magnesium is a laxitive)<\/p>\n
Diltiazem 2% cream<\/p>\n
Must treat for 4-6 weeks even after the patient feels better<\/p>\n
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any connection between two epithelialized surfaces<\/p>\n
Pilonidal disease<\/p>\n
infection of butt hairs<\/p>\n
Proctalgia Fugax<\/p>\n
psychogenic pain amongst the anal retentive<\/p>\n
Gay bowel syndrome<\/p>\n
gc, chl, HSV, syph, chancroid<\/p>\n
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<\/a><\/a><\/p>\n <\/p>\n Difference between prolapsed rectum and prolapsed hemorrhoid<\/p>\n <\/a><\/a><\/p>\n Rectum(Circular)\u00a0\u00a0\u00a0 Hemorrhoid (Stellate)<\/p>\n <\/p>\n <\/p>\n Foreign Bodies<\/p>\n <\/p>\n Perianal Abscesses<\/p>\n cruciate incision is not necessary, but it must be big enough to admit a finger to break up adhesions and define the boundaries of the cavity<\/p>\n check for anorectal fistula<\/p>\n half of these patients will develop a fistula<\/p>\n <\/p>\n necrotizing infections: cut out everything dead and smelly, no matter how large the resultant wound<\/p>\n <\/p>\n can use sugar on strangulated hernias and rectal prolapse<\/p>\n <\/p>\n acute perianal hematoma<\/p>\n often erroneously labelled as a thrombosed hemorrhoid<\/p>\n from a clotted perineal vein<\/p>\n non-op management is best<\/p>\n <\/p>\n <\/p>\n <\/p>\n |\u00a0\u00a0 \u00a0\u00a0 |\u00a0\u00a0 \u00a0\u00a0 |<\/p>\n","protected":false},"excerpt":{"rendered":" Array<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[8],"tags":[],"yoast_head":"\n