This episode of CRACKCast covers Rosen's Chapter 96, Anorectal Disorders. These complaints are sensitive in nature and are not easily volunteered by patients. A sensitive and thorough history is necessary to help resolve these complaints that can be devastating to quality of life.

• What are risk factors for the develop of symptomatic haemorrhoids?

• Describe 4 degrees of internal hemorrhoids and indicated management options

• Describe the management of non-thrombosed external haemorrhoid & thrombosed external hemorrhoids

• List causes of fissures. Which type of fissure is suspicious for underlying disease?

• Describe the treatment of anal fissures – 5 options

• Which conditions are associated with the development of abscesses and fistulas?

• List 5 types/sites of anorectal abscess. Which can be drained in ER?

• What is a pilonidal cyst? How do you treat it?

• List 8 causes of fecal incontinence.

• List 8 causes of pruritus ani

• Describe 6 rectal STI's and their management

• List conditions associated with rectal prolapse.

• Describe the ED management of rectal foreign bodies

Wisecracks:

Mixed bag of anorectal stuff - levator ani syndrome, proctalgia fugax, radiation proctitis, hidradenitis suppurativa, and more...