CHAPTER 29: Colon, Rectum, and Anus

Learning Objectives: At the end of this chapter, the student will be able to:

I. Review the anatomy and physiology of the colon and anorectum

a. Anatomy
i. Landmarks
ii. Blood supply
iii. Lymphatic drainage
b. Physiology
i. Fluid and electrolyte exchanges
ii. Motility, defecation and Continence

II. Determine the tests to assess anatomy and function of colon and anorectal disease
a. Endoscopy
b. Imaging
c. Pelvic floor studies

III. Identify the common symptoms associated with colorectal disorders

IV. Identify the incidence, etiology, pathogenesis, manifestations, diagnosis and treatment of
colon disease
a. Inflammatory bowel disease
b. Diverticula
c. Volvulus
d. Colitis
e. Polyps
f. Colonic carcinoma

V. Identify surgical procedures commonly used in the treatment of colon diseases

a. Proctocolectomy
b. Anterior Resection
c. Hartmann’s Procedure
d. Abdominoperineal Resection
e. Colostomies

VI. Identify the incidence, etiology, pathogenesis, manifestations, diagnosis and treatment of
anorectal disease
a. Rectal prolapse
b. Perianal abscess
c. Haemorrhoids
d. Anal fissure
e. Fistula
f. infections

VII. Identify surgical procedures commonly used in the treatment of anorectal diseases
a. Hemorroidectomy
b. Surgeries for anal Fistula
 TABLE OF SPECIFICATION
Topic/Course Title: 29 –Colon, Rectum and Anus
No. of Hours Taught: 6
Type of Exam: Long Exam, Bimonthly Exam
Faculty-In -Charge:  Dr Dy

LEVELS / SKILLS
Remembering Understanding Thinking
(Comprehension/ (Analysis/Synthesis/ TOTAL
(Knowledge)
Application) Evaluation)
SUBTOPICS
Item Item Item
No. No. No.
Placement Placement Placement No. of
of % of % of % %
or Question or Question or Question Items
Items Items Items
No. No. No.
Anatomy & Physiology
Tests
Symptoms
Colon Diseases
Colon Surgeries
Anorectal Diseases
Anorectal Surgeries
TOTAL