ANAL FISSURES Flashcards
1
Q
Clinical Features
A
Sharp cutting pain with defecation and subsides between bowel movements
Bright red blood in small quantities
Painful rectal examination
Most fissures located in the posterior midline
2
Q
Red Flags
A
Abdominal Pain
Weight Loss
Night Sweats
Vomiting
3
Q
DDx
A
Perianal Abscess
Fistula in Ano
Cryptitis
Proctitis
Anal Fissures
Chron’s
Ulcerative Colitis
Anal Carcinoma
TB
4
Q
General Management of uncomplicated Fissures
A
Hot Sitz Bath
Insoluble Fiber
Topical Agents
5
Q
Topical agents
A
Nifedipine 0.2 % ointment 2 - 4 times daily for 4 weeks
