pilonidal disease Flashcards
1
Q
what
A
sinus forms near upper part of natal cleft of buttocks
2
Q
more common in
A
men
15-40yrs
thick body hair
3
Q
pathophysiology
A
insertion of hairs into skin of natal cleft,
–> chronic inflammatory response –> formation of a discharging sinus
4
Q
features
A
pain
swelling
discharge
worse when sitting
5
Q
diagnosis
A
clinical
6
Q
Mx
A
conservative - hygiene
symptomatic - incision and drainage
7
Q
Mx small bowel obstruction
A
manage conservatively - NMB, NG tube, IV fluids
if conservative mx fails then surgery
8
Q
anastomotic leak features
A
5-7days post op
abdo pain, fever, delirium, prolonged ileus, sepsis
9
Q
anastomotic leak - Mx
A
IV antib
exploratory laparotomy
