Treatment of Anorectal Conditions
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Questions and Answers

What is a necessary step in treating complicated fistulae?

  • Ignoring the cause of fistulae
  • Using C Setons (correct)
  • Excluding diabetes
  • Ignoring pruritis ani
  • What is a necessary step before treating pruritis ani?

  • Ignoring the underlying cause of pruritis ani
  • Treating the cause of pruritis ani
  • Excluding diabetes (correct)
  • Using C Setons
  • What is the primary factor that influences the resting tone?

  • External sphincter activity
  • Neurological pathways
  • Muscle tone
  • Internal sphincter activity (correct)
  • What is the goal of treating pruritis ani?

    <p>To treat the cause of pruritis ani</p> Signup and view all the answers

    What is necessary to maintain anal continence?

    <p>Intact neurological pathways</p> Signup and view all the answers

    What is the purpose of C Setons?

    <p>To treat high and complicated fistulae</p> Signup and view all the answers

    What should be excluded before treating pruritis ani?

    <p>Diabetes</p> Signup and view all the answers

    What is reflected in the resting tone?

    <p>Internal sphincter activity</p> Signup and view all the answers

    What must be intact to maintain anal continence?

    <p>Neurological pathways</p> Signup and view all the answers

    What is the outer muscle coat of the rectum?

    <p>Circular muscle coat</p> Signup and view all the answers

    Which of the following is NOT a factor in maintaining anal continence?

    <p>Muscle elasticity</p> Signup and view all the answers

    What is the internal anal sphincter?

    <p>A continuation of the circular muscle coat of the rectum</p> Signup and view all the answers

    What is a rare condition related to the urethra?

    <p>Fistula with the urethra</p> Signup and view all the answers

    What is the circular muscle coat of the rectum responsible for?

    <p>Involuntary contraction of the rectum</p> Signup and view all the answers

    What is the relationship between the internal anal sphincter and the circular muscle coat of the rectum?

    <p>The internal anal sphincter is a continuation of the circular muscle coat</p> Signup and view all the answers

    What might an anorectal abscess be a manifestation of?

    <p>A generalised disease</p> Signup and view all the answers

    What is an anal fissure related to?

    <p>Anorectal abscesses</p> Signup and view all the answers

    What is a possible underlying cause of an anorectal abscess?

    <p>Generalised disease</p> Signup and view all the answers

    What type of disease might be associated with an anorectal abscess?

    <p>Generalised disease</p> Signup and view all the answers

    What is a possible complication of an anorectal abscess?

    <p>Severe infection</p> Signup and view all the answers

    What is the treatment of choice for fistula-in-ano?

    <p>Conservative D Operation</p> Signup and view all the answers

    What is the primary focus of treating a fistula-in-ano?

    <p>Identifying the underlying cause</p> Signup and view all the answers

    Why is anal dilatation not recommended as a primary treatment for fistula-in-ano?

    <p>It is not effective in treating underlying causes</p> Signup and view all the answers

    What is the significance of identifying the underlying cause of a fistula-in-ano?

    <p>It influences the choice of treatment</p> Signup and view all the answers

    What can be a consequence of not addressing the underlying cause of a fistula-in-ano?

    <p>Worsening of symptoms</p> Signup and view all the answers

    Study Notes

    Anorectal Disorders

    • High and complicated fistulae are treated with C Setons.
    • Diabetes must be excluded before treating pruritis ani.
    • Pruritis ani is treated by addressing its underlying cause.

    Anatomy of the Anorectal Region

    • The internal anal sphincter is a continuation of the circular muscle coat of the rectum.
    • The outer muscle coat of the rectum is separate from the internal anal sphincter.

    Anal Continence

    • Intact neurological pathways are necessary to maintain anal continence.
    • The resting tone of the anal sphincter is a reflection of internal sphincter activity.

    Anorectal Abscesses and Fistulae

    • Anorectal abscesses can be a manifestation of a generalised disease.
    • Anal fissure may be an underlying cause of anorectal abscesses.
    • Fistula-in-ano may be treated with lateral anal sphincterotomy.
    • Operation is the preferred treatment for fistula-in-ano.
    • Anal dilatation may be tried as a treatment option.

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    Description

    This quiz covers the treatment of anorectal conditions, including the use of C Setons and the importance of excluding diabetes. It also touches on the treatment of pruritis ani.

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