PPT-Approach to Patient with Anal Pain or Bleeding Per Rectum

Contents of seminar Bleeding per rectum Introduction Causes Approach Anal pain Introduction Causes Approach Investigations related to bleeding per rectum and anal pain The case A 52yearold man consulted in extreme perianal discomfort that he had experienced for 48 hours He had no past history of similar problems and was otherwise asymptomatic There was no abnormality on abdominal examination while on examination of the perianal area there was a tense dark blue grapesized swelling that was acutely tender to touch Rectal examination was difficult to perform adequately because of pain but no other masses were palpable What is the diagnosis differential diagnosis and management . By: Mohammad Jamjoom. Fahad. Al-. Sabhan. Supervised by: Dr. . Khayal. Al-. Khayal. Overview:. Anatomy of the anal canal. Hemorrhoids. Anal fissures. Anal abscesses. Anal fistulas. Anatomy of the anal canal:. Bernard M. Jaffe, MD. Professor of Surgery, . Emeritus. Tulane University School of Medicine. ANAL CANAL. Borders- Coccyx. . . Ischiorectal. Fascia Bilaterally. . Female- Perineal Body; Male- Urethra. What is the pathogenesis of haemorrhoids?. How can haemorrhoids be classified?. How can haemorrhoids be managed?. What is the pathogenesis of fissures?. What are the options for managing fissures?. Anatomy. Anatomy. Hemorrhoids are not varicose veins. . everyone has anal cushions. The anal cushions are composed of blood vessels, smooth muscle (. Treitz’s. muscle), and elastic connective tissue in the . -. . GPwSI. Gastroenterology. . - C&H Gastro CCG lead. Miss . Tamzin. . Cuming. . - Consultant Colorectal Surgeon, . Homerton. Rectal Bleeding. U. p . to 38% of people will experience rectal bleeding at some point in their lives. & Anal. . Canal. Ali . Jasim. . Alhashli. Year . III . – . Unit V (GI & . Renal. . Systems). STATION . –. . 1. . (Rectum . & Anal. . canal). Rectum:. It is . continuous . proximally . SERVICE DE RADIOLOGIE, . CHU . mohammed. vi, . oujda. H.Mirali. , . S.El. . arabi. , . H.Abdelouahhab. , . S.Nasri. , . I.Kamaoui. , . I.Skiker. Introduction. . Les tumeurs anorectales regroupent un large panel diagnostic touchant à la fois le rectum et le canal anal.. retroperitoneal abscess necessitating emergencylaparotomy and defunctioning colostomy loomslarge Excessive local reactions necrosis fol-lowed by hemorrhage and allergic reactions ex-ternal hemorrhoid M (MD). Gastrointestinal bleeding . has . high mortality . & morbidity . persistent . bleeding and/or . recurrence carries . worse outcomes . without . immediate intervention. DEFINITION. UGIB. Assistant professor. Department of Surgery. CIMS&H, Lucknow. Definition. :. It is a common disease of anus and a painful condition which makes the patient often anxious and embarrassed.. The word ‘Fissure’ means crack. It is longitudinal crack in the long axis of the lower anal canal. In other words we can just say that it is true ulcer of the anoderm below the dentate line of the anal canal.. Dr Sarah Cox. Senior O&G Registrar. Vaginas are SCARY …. Gynaecology in the ED. https://youtu.be/3HwJ_0BSN8k. Acute pelvic pain. In the emergency assessment of women of reproductive age it is important to exclude:. Assistant prof. Dr. . Mayasah. A. . Sadiq. F.I.B.M.S.-FM. Approach to Patient with blood in urine. History taking. §Physical examination. §. Investigation, Lab , Radiology . History Taking . Associated symptoms :. Begum. .. MBBS(DMC), FCPS(surgery). Associate Professor. Department of Surgery. MCWH, . Uttara. .. Case presentation . Patient 1. : A 55 year old female presented with a . lump. in. right side. of abdomen with occasional. Fahad. Al-. Sabhan. Supervised by: Dr. . Khayal. Al-. Khayal. Overview:. Anatomy of the anal canal. Hemorrhoids. Anal fissures. Anal abscesses. Anal fistulas. Anatomy of the anal canal:. The anal canal is 4 cm long.