Anal disease (fissures, abscess, fistula) (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Pass

Anal disease (fissures, abscess, fistula) (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Pass Perirectal Abscess . . . What is it? Abscess formation around the anus/rectum What are the signs/ symptoms of a perirectal abscess? Rectal pain, drainage of pus, fever, perianal mass How is the diagnosis of perirectal abscess made? Physical/digital exam reveals perianal/ rectal submucosal mass/fluctuance What is the cause of perirectal abscess? Crypt abscess in dentate line with spread What is the treatment of perirectal abscess? As with all abscesses (except simple liver amebic abscess) drainage, sitz bath, anal hygiene, stool softeners What is the indication for postoperative IV antibiotics for drainage for perirectal abscess? Cellulitis, immunosuppression, diabetes, heart valve abnormality What percentage of patients with perirectal abscess develops a fistula in ano during the 6 months after surgery? 50%