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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
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msyamp
| Forum Guru Topics: 61 Posts: 1449
5
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Reddoc
| Forum Senior  Topics: 2 Posts: 107
ischiorectal abscess - incise and drain immediately - 5.
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achilles
| Forum Guru  Topics: 90 Posts: 1222
yup its 5- incision and drainage
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chemamr
| Forum Hero  Topics: 340 Posts: 4448
agree with 5 as the best next step. Then you could give 2) at discharge.
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yasmeen
| Forum Guru Topics: 72 Posts: 950
yes its 5.
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AAAAA
| Forum Fanatic Topics: 159 Posts: 2013
anal abscess=I & D
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AAAAA
| Forum Fanatic Topics: 159 Posts: 2013
Very common presentation in ER: anal abscess Send them to the surgeons
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