Absite: Anorectal

Front 1

art supply to anus?

Back 1

inf. rectal art

Front 2

levels of int hemorrhoids?

Back 2

primary-slides below dentate
secondary-prolapse c/reduction
tertiary-prolapse w/manual red.
quartery-nonreducible

Front 3

tx for condyloma acuminata?

Back 3

laser tx for this caused by HPV?

Front 4

MC location of anal fissure?

Back 4

90% located posterior midline

Front 5

lateral or recurrent anal fissures may indicate?

Back 5

anorectal disease indicating IBS?

Front 6

abscesses that can form in horseshoe shape in anus?

Back 6

intersphincteric and ischiorectal abscess can form this shape abscess?

Front 7

fistula-in-ano treatment?

Back 7

unroof, removal of primary opening, with rectal advancement flap, NO excision of tract

Front 8

what lenght cutoff for simple vs. complex rectovaginal fistula?

Back 8

>2.5cm considered complex

Front 9

which AIDS complication similar in presentation to appy?

Back 9

CMV colitis has similar presentation to which disease?

Front 10

#1 cause of rectal ulcer?

Back 10

HSV

Front 11

first line tx of squamous cell CA above dentate line?

Back 11

chemo with nigro protocol

Front 12

first line tx for squamous cell CA below dentate line?

Back 12

WLE for <3cm with 0.5cm margin, APR

Front 13

tx for adenocarcinoma above dentate line?

Back 13

WLE for <3cm with 1cm margin

Front 14

tx for melanoma in anal canal?

Back 14

APR

Front 15

intractable itching in anal verge with bx of positive PAS stain indicates?

Back 15

paget's disease

Front 16

nodal mets from tumor at lower 1/3 of anal canal?

Back 16

ingunial spread

Front 17

nodal mets from tumor at upper 2/3 of anal canal?

Back 17

internal illiac and pelvic

Front 18

nodal mets from tumor at rectum?

Back 18

IMA nodes; lower rectum also can spread to int iliac