determine
Forum Guru
Topics: 152
Posts: 335
|
A 30-year-old man presents to the emergency room with a 7-day history of increasing pain in the perianal region. On examination, he has an indurated, reddened and very tender area, extending from the anal verge out into the left buttock. His temperature is 38 °C. Which one of the following is the next most appropriate step in management?
<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
1) order a CT scan of the pelvis
2) prescribe ciprofloxacin and metronidazole
3) prescribe analgesics and sitz baths
4) order a barium enema
5) incise the indurated area
|
| msyamp
Forum Fanatic
Topics: 60
Posts: 1,462
|
5
___________________
If you think you can You can! If you think you cant you are right again!!
|
| Reddoc
Forum Senior
Topics: 2
Posts: 109
|
ischiorectal abscess - incise and drain immediately - 5.
|
| achilles
Forum Guru
Topics: 85
Posts: 1,201
|
yup its 5- incision and drainage
___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
|
| chemamr
Moderator and PGY1
Topics: 703
Posts: 4,441
|
agree with 5 as the best next step. Then you could give 2) at discharge.
___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
|
| yasmeen
Forum Guru
Topics: 67
Posts: 936
|
yes its 5.
|
| AAAAA
Forum Fanatic
Topics: 153
Posts: 1,983
|
anal abscess=I & D
___________________
seeking study partner in USMLE examination
|
| AAAAA
Forum Fanatic
Topics: 153
Posts: 1,983
|
Very common presentation in ER: anal abscess
Send them to the surgeons
___________________
seeking study partner in USMLE examination
|
|
| |
| | | | | | | | |
