History of recurrent perianal abscesses

Assignment Help Science

Reference no: EM133749017

Question

A 50-year-old man with a past medical history of recurrent perianal abscesses over 4-5 years presents to the emergency department with a complaint of perianal pain for 4 days. He reports that this episode is different because he has malodorous, purulent drainage staining his underwear and toilet paper. He denies fever, chills, abdominal pain, bowel changes, and rectal bleeding. What physical examination finding would support a diagnosis of perianal fistula? Erythematous, tender, and indurated fluctuant mass at the anal verge Tear in the anoderm at the posterior midline position distal to the dentate line Pustule-like lesion in the perianal region with surrounding hypertrophied tissue Pores or sinus openings within the midline or slightly lateral to the natal cleft.

Reference no: EM133749017

Questions Cloud

Woman with past medical history of seasonal allergies : A 20-year-old woman with past medical history of seasonal allergies, for which she takes oral fexofenadine, presents to clinic for evaluation of ear disorder

Underwent spinal anesthesia for a urologic procedure : A 65-year-old patient underwent spinal anesthesia for a urologic procedure. Which indicator is consistent with discharge readiness?

What priority actions should the supervisor initiate : Upon inspecting the room, the nurse notes a small amount of sewage seeping up through the floor drain. What priority actions should the supervisor initiate?

Medical history of peptic ulcer disease : A 45-year-old East Asian man with a past medical history of peptic ulcer disease presents to the clinic with a 2-month history of persistent, gnawing

History of recurrent perianal abscesses : Past medical history of recurrent perianal abscesses over 4-5 years presents to the emergency department with a complaint of perianal pain for 4 days.

History of high fevers-malaise and myalgias : A 28-year-old man was seen in the office for a 5-day history of high fevers, malaise, myalgias, headache, diarrhea, abdominal pain, and anorexia.

Evaluation of sensitivity and discomfort to breast region : A 14-year-old boy with no significant past medical history is brought to clinic by his mother for evaluation of sensitivity and discomfort to his breast region

Experience when withdrawing from tobacco and nicotine : All of the following are symptoms that people may experience when withdrawing from tobacco and nicotine except

Clinic for evaluation of painless nodule : A 65-year-old man with no significant past medical history presents to the clinic for an evaluation of a painless nodule on his penis

User Account

All Pages