TY  - CHAP
M1  - Book, Section
TI  - External Hemorrhoid Management
A1  - Holmes, Katherine
A1  - Balkin, Michael
A1  - Wang, Hao
A2  - Reichman, Eric F.
PY  - 2018
T2  - Reichman's Emergency Medicine Procedures, 3e
AB  - Thrombosed  external  hemorrhoids  consistently  cause  patient  pain  and  embarrassment.  The  etiology  is  still  unclear.  The  mainstay  of  treatment  is  excision.  It  is  important  to  remember  that  excision  is  performed  to  alleviate  or  palliate  pain  and  shorten  the  course  of  the  disease.  The  natural  history  of  an  untreated  thrombosed  external  hemorrhoid  is  to  rupture  and  spontaneously  evacuate  the  clot  or  to  resorb  the  clot  over  time.  Therefore,  treatment  should  give  the  maximum  amount  of  pain  relief  with  the  least  chance  of  complications.  To  make  this  decision,  it  is  important  to  take  a  thorough  history  from  the  patient  and  include  questions  about  the  time  course,  severity,  improvement  or  deterioration,  and  what  has  worked  or  failed  in  the  past.  It  is  also  important  to  perform  a  physical  examination  to  rule  out  prolapsed  grade  IV  internal  hemorrhoids,  perianal  abscesses,  and  other  perianal  masses.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/24
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1159799941
ER  -