A Case Of Anal Fissure - Similima

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Aetiology; � 1.Heridetory; seen in members of same family, associated with varicosity of lower limbs. � 2.Anatomical;The collecting radicles of the superior haemorrhoidal vein lie unsupported in the very loose submucous connective tissue of the anorectum.These veins pass through muscular tissue and are liable to be constricted by its contraction during defaecation. � 3.Exacerbating factors; straining accompanying constipation or that induced by over purgation is considered to be a potent cause of haemorrhoids. www.similima.com 50
Clinical features; �1. Bleeding which charecterestically occurs on defaecation and is usually bright red. �2.Prolapse-Either on straining or all the time. �3.Mucous discharge when rectal mucosa is exposed. �Pain, Itch, rectal discomfort. www.similima.com 51
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 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: 2.Haemorrhoids; �Are dilated vein
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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