Page 261 - 2021 IDMT Digital

HEMORRHOIDS
Introduction:
• +HPRUUKRLGV VXEHSLWKHOLDO YDVFXODU FXVKLRQV FRQVLVWLQJ RI FRQQHFWLYH WLVVXH VPRRWK
PXVFOH ILEHUV DQG $9 FRPPXQLFDWLRQV EHWZHHQ WHUPLQDO EUDQFKHV RI DUWHULHV DQG YHLQV
• ([WHUQDO hHPRUUKRLGV DULVH IURP LQIHULRU KHPRUUKRLGDO YHLQV
• ,QWHUQDO hHPRUUKRLGV DULVH IURP WHUPLQDO EUDQFKHV RI VXSHULRU UHFWDO DUWHU\ DQG UHFWDO
YHLQV
• 7KURPERVHG hHPRUUKRLG WKURPERVLV RI H[WHUQDO SOH[XV WKDW UHVXOWV LQ D KHPDWRPD
• 0D\ EHFRPH V\PSWRPDWLF IURP DFWLYLWLHV WKDW LQFUHDVH YHQRXV SUHVVXUH
o 6WUDLQLQJ DW VWRRO FRQVWLSDWLRQ SUHJQDQF\ REHVLW\ SURORQJHG VLWWLQJ
Subjective:
• 6LJQV DQG 6\PSWRPV
o %OHHGLQJ %5%35 SURODSVH PXFRLG GLVFKDUJH
o 3UXULWXV
o 3DLQ DQG GLVFRPIRUW
ƒ ([WHUQDO KHPRUUKRLGV SDLQ XVXDOO\ SUHVHQW
• 7KURPERVHG H[WHUQDO KHPRUUKRLG DFXWH RQVHW RI H[TXLVLWH SDLQ
ƒ ,QWHUQDO hHPRUUKRLGV XQXVXDO WR KDYH SDLQ

Objective:
• 3K\VLFDO ([DP
o ([DPLQH SHULDQDO DUHD IRU ILVWXODV ILVVXUHV VNLQ WDJV FRQG\ORPDV DQDO PDVVHV
RU GHUPDWLWLV
o ([WHUQDO KHPRUUKRLGV UHDGLO\ YLVLEOH RQ SHULDQDO LQVSHFWLRQ
ƒ 7KURPERVHG KHPRUUKRLG WHQVH DQG EOXLVK SHULDQDO QRGXOH
o ,QWHUQDO hHPRUUKRLGV
ƒ 1RQ SURODSVHG DUH QRW YLVLEOH EXW PD\ SURWUXGH ZLWK JHQWOH VWUDLQLQJ
ƒ 3URODSVHG DUH YLVLEOH DV SURWXEHUDQW SXUSOH QRGXOHV FRYHUHG E\ PXFRVD
ƒ 8SRQ '5( XVXDOO\ QRW SDOSDEOH QRU SDLQIXO
Assessment:
• 'LIIHUHQWLDO IRU %5%35
o &RORQ FDQFHU IDPLO\ KLVWRU\ ZHLJKW ORVV QLJKW VZHDWV DQRUH[LD
o ([WHUQDO KHPRUUKRLGV VHHQ UHDGLO\ RQ H[DP
o ,QWHUQDO KHPRUUKRLGV XVXDOO\ SDLQOHVV EOHHGLQJ
o $QDO ILVVXUH PXFRVDO WHDU LQ DQXV SDLQ ZLWK GHIHFDWLRQ

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