Still Not Bored Review

43 yo Male presents with anal pain.

Pink, nonbleeding hemorrhoids, treatment?

sitz baths, manual reduction, fiber supplement

Dusky, very tender mass coming out of the anus, diagnosis?

Sounds like a thrombosed hemorrhoid

Dusky, very tender, treatment?

excision, but not for everyone.

Above treatment if?

Excise only if in severe pain and <48 hours old

Contraindications:

– Immunocompromised

– Pregnant

– A child

– Portal hypertension (eg alcoholic cirrhosis)

– Coagulaopathy.

Who wants to see photos?

Really?…fine. Here and Here

 

references

Tintnalli’s

 

The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
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andygrock

  • Resident Editor In Chief of blog.clinicalmonster.com.
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  • Resident at Kings County Hospital