141. Perineal abscesses and fistulae

Question 1

Symptoms and signs of perinanal abscess?

Answer 1

Pain- severe
Leukocytosis
Fever
Urinary retention

Question 2

Management of perianal abscess?

Answer 2

Incision and drainage

[antibiotics as adjunct]

Question 3

Definition of perianal abscess?

Answer 3

anorectal abscess is an infection of the soft tissues around the anus

Question 4

Aetiology/risk factor of perianal abscess?

Answer 4

Anal fistula [becomes occluded]
Crohn’s
Male

Question 5

Epidemiology of perianal abscess?

Answer 5

Young male

Twenty to forty years

Question 6

Investigation of perianal abscess?

Answer 6

Clinical diagnosis

Rarely need to examine under anaesthetic due to pain

Question 7

Definition of perianal fistula?

Answer 7

Tunnel between colon and skin near anus

Question 8

Aetiology of perianal fistula?

Answer 8

Anal gland blockage, bacteria from abscess, abscess grows and creates fistula when reaches skin

Question 9

Symptoms and signs of perianal fistula?

Answer 9

Skin maceration
Pus/fluid thick discharge
Pruritus ani
Pain, swelling, fever, tender

Question 10

Investigations of perianal fistula?

Answer 10

Clinical diagnosis

Proctoscopy can help

Question 11

Management of perianal fistula?

Answer 11

Surgery- fistulotomy/seton placement

Question 12

Epidemiology of perianal fistula?

Answer 12

Males

Thirty to forty years