Anal abscess Flashcards
1
Q
What is an anal abscess?
A
Infection of the soft tissues and collection of puss around the anus
2
Q
What are the different locations by which anal abscess can be classified?
A
- Intersphincteric
- Perianal
- Perirectal
- Supra levator
3
Q
What are RF for anal abscesses?
A
- Anal fistula
- Crohn’s disease
- Constipation
4
Q
What is the epi for anal abscess?
A
M>F
5
Q
What is the presentation of anal abscess?
A
- Perianal Pain
- Not related to defecation! (not fissures)
- Perianal Swelling and Tenderness
6
Q
How can the presentation change if systemic?
A
Low grade fever & Tachycardia
7
Q
What investigations are used for anal abscess?
A
- 1st line & DIAGNOSTIC = CLINICAL EXAMINATION
- Visualise abscess
- or EUA
8
Q
What other investigations can be used for anal abscess?
A
CT / MRI for internal pelvic abscesses
9
Q
What is the management of an anal abscess?
A
- 1st line – SURGICAL DRAINAGE OF ABSCESS
* ( + fistulotomy)
10
Q
What can be added to the management of anal abscess if there is systemic infection?
A
broad spectrum AB
