Question |
Answer |
Article |
What are the four types of rectal prolapse?
|
- Mucosal
- Complete
- Complete with colonic invagination
- Ileocolic intussusception
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Link to Article |
Name some of the predisposing factors.
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- Diarrhoea – parasitism, enteritis, etc
- Tenesmus – Colitis, obesity, parasitism, urethral obstruction, urolithiasis
- Increases in intra-abdominal or intra-thoracic pressure – coughing
- Increased abdominal fill – multiple foetuses, bloat
|
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Link to Article |
What is the important differentiation to make on a clinical examination of a prolapse and how should it be done?
|
Must be differentiated from an ileocolic intussusception
- By inserting a probe or finger between the prolapse and rectal wall
- Will not be able to insert very far in prolapse
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Link to Article |
What procedure should always be performed before any other treatment?
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Epidural anaesthesia
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Link to Article |
How is a prolapse replaced?
|
- First cleaned with soap and warm water
- Manually replaced using lots of lubricant
- Purse string sutures placed to secure
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Link to Article |