Asked by Maibileyvis Capote on May 21, 2024
Verified
As the nurse is taking the health history, the patient states, "It really hurts back there, and sometimes it itches, too. I have even seen blood on the tissue when I have a bowel movement. Is there something there?" The nurse should expect to see which of these upon examination of the anus?
A) Rectal prolapse
B) Internal hemorrhoid
C) External hemorrhoid that has resolved
D) External hemorrhoid that is thrombosed
Thrombosed Hemorrhoid
A hemorrhoid in which a blood clot has formed, often causing severe pain and swelling.
Rectal Prolapse
A medical condition where the rectum extends beyond its usual position, protruding through the anus.
Internal Hemorrhoid
Swollen, inflamed veins in the lower rectum and anus located beneath the mucous membranes, often causing discomfort.
- Acquire an understanding of the different ailments impacting the anus and rectum, along with their symptoms.
- Identify the indications and manifestations of prevalent perianal and rectal conditions in both pediatric and adult populations.
Verified Answer
PK
Pratima KandelMay 21, 2024
Final Answer :
D
Explanation :
These symptoms are consistent with an external hemorrhoid. An external hemorrhoid, when thrombosed, contains clotted blood and becomes a painful, swollen, shiny blue mass that itches and bleeds with defecation. When the external hemorrhoid resolves, it leaves a flabby, painless skin sac around the anal orifice. An internal hemorrhoid is not palpable but may appear as a red mucosal mass when the person performs a Valsalva maneuver. A rectal prolapse appears as a moist, red doughnut with radiating lines.
Learning Objectives
- Acquire an understanding of the different ailments impacting the anus and rectum, along with their symptoms.
- Identify the indications and manifestations of prevalent perianal and rectal conditions in both pediatric and adult populations.
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