24-year-old male complaining of tender mass and redness in perianal area. He has history of recurrent presentations that end with spontaneous drainage. Abdominal examination shows... 24-year-old male complaining of tender mass and redness in perianal area. He has history of recurrent presentations that end with spontaneous drainage. Abdominal examination shows one fistula with redness and fluctuation mass. What is the next step in management?
Understand the Problem
The question presents a medical scenario involving a 24-year-old male with specific symptoms and asks for the next step in management. It is focused on understanding clinical decision-making in a medical context.
Answer
Examination under general anesthesia.
The next step in management is examination under general anesthesia.
Answer for screen readers
The next step in management is examination under general anesthesia.
More Information
Examination under anesthesia is often necessary for proper drainage of a perianal abscess and to assess the full extent of any fistula present.
Tips
Avoid treating with antibiotics alone, as they do not resolve abscesses; surgical intervention is typically necessary.
Sources
- Abscess and Fistula - American Society of Colon and Rectal Surgeons - fascrs.org
- Anal Fistula: What It Is, Symptoms, Treatment & Surgery - my.clevelandclinic.org
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