Asked by Ahmad Rashdan on May 22, 2024

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While performing an assessment of the perianal area of a patient, the nurse notices that the pigmentation of the anus is darker than the surrounding skin, the anal opening is closed, and a skin sac that is shiny and blue is noted. The patient mentioned that he has had pain with bowel movements and has occasionally noted some spots of blood. What does this assessment and history most likely indicate?

A) Anal fistula
B) Pilonidal cyst
C) Rectal prolapse
D) Thrombosed hemorrhoid

Thrombosed Hemorrhoid

A hemorrhoid in which a blood clot forms, causing pain, swelling, and often requiring medical intervention.

Rectal Prolapse

A medical condition where the rectum protrudes through the anus, either partially or completely.

Anal Fistula

An abnormal, inflamed tunnel between the end of the bowel and the skin near the anus, often resulting from an infection in an anal gland.

  • Secure knowledge regarding the multitude of diseases impacting the rectum and anus, together with their indications.
  • Acknowledge the common signs and symptoms indicative of perianal and rectal disorders in adults and children.
verifed

Verified Answer

JD
Joshua DunfeeMay 23, 2024
Final Answer :
D
Explanation :
The anus normally looks moist and hairless, with coarse folded skin that is more pigmented than the perianal skin, and the anal opening is tightly closed. The shiny blue skin sac indicates a thrombosed hemorrhoid.