| Author | 9 Posts |
dr_jojo
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A 32-year-old woman comes to the physician because of bright red rectal bleeding and severe stabbing pain with each bowel movement over the past 2 weeks. She has blood-streaked stools, and there is blood on the toilet paper. Over the past 2 months, she has had mild constipation with no change in the caliber of the stool. Examination shows a small anal fissure at the posterior midline. Rectal examination is painful, but no abnormalities are detected except for a small amount of bright red blood from the fissure. Which of the following is the most appropriate next step in management?
A
) Anesthetic ointment and stool softeners
B
) Anal dilatation under anesthesia
C
) Debridement and closure of the fissure under anesthesia
D
) Surgical flaps
E
) Lateral internal sphincterotomy
MY answer is A
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| huyniid
Forum Elite
Topics: 9
Posts: 199
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A.
E is for chronic fissure
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| robin082006
Forum Hero
Topics: 471
Posts: 5,125
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A fore sure
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The Key to Succeed is Patience.
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| dr in trouble
Forum Guru
Topics: 62
Posts: 601
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yes itz A
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If u want to do something, do it today as there is no tomorrow.
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| ram3
Forum Guru
Topics: 48
Posts: 519
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This is anal fissure and the answer is choice a anasthetic ointment and stool softeners Big Time
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| Tuscani
Forum Senior
Topics: 27
Posts: 157
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aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa!!!
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| Destination
Forum Junior
Topics: 14
Posts: 50
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B is the right answer.Ist do anal dilataion
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| innocent devil
Forum Guru
Topics: 54
Posts: 748
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a
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man of unknown principles
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| nightflight1945
Forum Senior
Topics: 19
Posts: 247
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Anesthetic ointment and stool softeners
It is just two weeks and so is acute fissure ,
REGARDS
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REGARDS
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