A Case Of Anal Fissure - Similima

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�Bleeding –this is usually slight and consist of bright streaks on the stools or the paper. �Discharge; A slight discharge accompanies fully established. www.similima.com 44
On Examination ; � In cases of some standing a sentinel skintag can usually be displayed. This together with a typical history and a tightly closed, puckred anus, is almost pathognomonic of the condition. � By gently parting the margins of the anus, the lower end of the fissure can be seen. � In early cases the edges of the fissure are impalpable, in fully established cases, a charecterestic crater which feels like a button hole can be palpated. www.similima.com 45
Page 1 and 2: A Case of Anal Fissure Presented by
Page 3 and 4: Presenting Complaints �Pain in Re
Page 5 and 6: PHI � Pt had endometriosis, adeno
Page 7 and 8: Family history �Oral, GI cancer h
Page 9 and 10: Menstrual history �Before hystere
Page 11 and 12: Mental Generals �Pt is very impat
Page 13 and 14: Physical Generals �Appetite moder
Page 15 and 16: Genaral Examination �Pt is mild o
Page 17 and 18: Investigation �Not done particula
Page 19 and 20: Miasmatic Diagnosis �Sycosyphilic
Page 21 and 22: �Wants to be alone. �Very sensi
Page 23 and 24: �Hot pt , hot sensation all over
Page 25 and 26: � MIND - EGOTISM � act-sp. alco
Page 27 and 28: �Nux - 15/8 �Lach - 15/7 �Sta
Page 29 and 30: On 7 th July �Pt came and reporte
Page 31 and 32: On 15 th july �Pt came and report
Page 33 and 34: On 15 th august �Pt came and repo
Page 35 and 36: Anal Fissure �Synonym ; Fissure i
Page 37 and 38: Pathology ; �An anal fissure is e
Page 39 and 40: Chronic anal fissure ; �It is cha
Page 41 and 42: Clinical features; �1.Pain during
Page 43: �Pain is the symptom -sharp, agon
Page 47 and 48: B.Chronic ulcer ; �1. Anal dilata
Page 49 and 50: 2.Haemorrhoids; �Are dilated vein
Page 51 and 52: Clinical features; �1. Bleeding w
Page 53 and 54: 2.Peri-anal haematoma ; � (Thromb
Page 55 and 56: 3. Ano-rectal suppuration ; � Inf
Page 57 and 58: 2.Ischio-rectal abscess.; �Pain s
Page 59 and 60: 4.Pelvi rectal abscess.; �This is
Page 61 and 62: �It is also due to the fact that
Page 63 and 64: 6.Pilonidal sinus; � This occurs

A Case Of Anal Fissure - Similima

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