PERIANAL ABSCESS

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 M>F Due to infection of anal glands:cryptoglandular theory Organisms -E.Coli commonest one. Staph.aureus Bacteriods

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Clinical Features
Severe perianal pain - Pain in the perianal area is the most common symptom of an anorectal abscess. It is worst when the person sits down and right before a bowel movement. After the individual has a bowel movement, the pain usually lessens.
a palpable mass near the anus - Tender, Smooth, soft swelling Fever & night-time chills

constipation
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 DD: Haemorroids A physician can rule out a hemorrhoid with a simple visual inspection, and usually appreciate an abscess by touch.
Underlying causes: Most cases of perianal abscesses are sporadic. DM Crohn's disease Immunosuppression disorders Complications: Anal Fistula Systemic infection
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Rx:
Incision and Drain - Cruciate incision Abs Sitz bath Anal abscesses, unfortunately, cannot be treated by a simple course of antibiotics or other medications.
Even small abscesses will need the attention of a surgeon immediately. Treatment is possible in an emergency room under local anesthesia, but it is highly preferred to be formally admitted to a hospital and to have the surgery performed in an operating room under general anesthesia.
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Sitz Bath

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THANK YOU

Note: Pictures used in this Topic are taken from various websites.

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