USMLE Forum Archives - USMLE Step 2 CK - Surgery
Surgery
Youngdoctor - 12-15-09 15:39
shan, 24, developed constipation after
taking codeine for a knee injury. On passing
a hard motion she noticed a sharp pain and
a small amount of blood on the toilet paper.
Despite ceasing the codeine and her bowel
habit returning to normal, the pain on
opening her bowels has persisted. Which
TWO statements regarding the signs
associated with anal fissures are correct?
Youngdoctor - 12-15-09 15:39
shan, 24, developed constipation after
taking codeine for a knee injury. On passing
a hard motion she noticed a sharp pain and
a small amount of blood on the toilet paper.
Despite ceasing the codeine and her bowel
habit returning to normal, the pain on
opening her bowels has persisted. Which
TWO statements regarding the signs
associated with anal fissures are correct?
The correct answer and explanation will be available after you answer.
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#1
Re: Surgery
Youngdoctor - 12-15-09 15:40 Hi every one, here we have got two answers , I agree with option D. Which other could come?
#9
Re: Surgery conym5 - 12-22-09 13:31 My answer is: d.
Either extreme constipation or diarrhea, usually combined with nervous tension over a prolonged period of time, may produce anal abrasions, simple slit-like fissures, or acute ulcers at the anal verge. In some patients, the anal fissure doesn't heal and becomes a painful sore that is constantly re-injured or torn with each bowel movement.
#37
Re: Surgery babbu5508 - 10-23-10 09:38 My answer is: d.
d. Chronic fissures are often associated with a ‘sentinel pile’ (hypertrophied skin tag)....pathognomonic.......
#47
Re: Surgery sudha2015 - 03-28-11 01:15 On passing
a hard motion she noticed a sharp pain and
a small amount of blood on the toilet paper.
Despite ceasing the codeine and her bowel
habit returning to normal, the pain on
opening her bowels has persisted. Which
TWO statements regarding the signs
associated with anal fissures are correct
D
#48
Re: Surgery babbu5508 - 03-31-11 19:11 d. Chronic fissures are often associated with a ‘sentinel pile’ (hypertrophied skin tag).. A fissure produces pain disproportionate to its size.
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