A Case Of Anal Fissure - Similima

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History of presenting complaints � Complaints started 3years back as after inproperly operated haemorrhoids, � Complaints started slowly, developed insidiously. � Pain so severe, burning cutting type, during pain pt cannot sit, frequent urging for stool, straining at motion agg the pain, pt try to remove the stool mechanically, to relieve pain pt puts ice pieces into the anus, even though there was no relief. � Occasionally trace streaks of blood in stool. www.similima.com 4
PHI � Pt had endometriosis, adenomyosis and hysterectomy done before 3months back. � Pt had lt sided ovarian cyst, and lt ovary has removed while hysterectomy. � Pt also has pulmonary stenosis, pt also had hystory of rheumatic fever at the age of 16years. � Haemorrhoids begins during 2nd pregnency and underwent ayurvedic surgery 3years back. www.similima.com 5
Page 1 and 2: A Case of Anal Fissure Presented by
Page 3: Presenting Complaints �Pain in Re
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 and 44: �Pain is the symptom -sharp, agon
Page 45 and 46: On Examination ; � In cases of so
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
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A Case Of Anal Fissure - Similima

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