NBME 24 Superior rectal vein (NBME Answers)

NBME 24 Answers ↦

nbme24/Block 4/Question#50 (23.2 difficulty score)
A 47-year-old man comes to the physician ...
Superior rectal vein🔍
tags: FA18p360 FA19p359

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+7
submitted by m-ice(340),

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+4
submitted by ihavenolife(69),

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kateinwonderland Above pectinate -V:sup. rectal v -> inf. mesenteric v. -> splenic v. -> portal v -internal iliac LN Below pectinate -V:inf. rectal v -> internal pudendal v->internal iliac v->common iliac v->IVC -superficial inguinal LN (FA 2018 p360) +1

sherry Venous drainage above pectinate, most to the portal vein, some to internal iliac v via middle rectal vein. I think the real solid key here is that the clinical vignette suggests hepatic cirrhosis. +1

moxomonkey internal hemorroids are not related to portal hypertension https://www.ncbi.nlm.nih.gov › pmc › articles › PMC4691702 also FA 383 anorectal varices are. now if you check FA it say Pg 359 First Aid 2019 Anorectal varices Superior rectal ↔ middle and inferior rectal all of them include in the answers options so? +1