What is the next step in management for a 24 year-old male complaining of tender mass and redness in perianal area, showing one fistula with redness and fluctuation mass?
Understand the Problem
The question is asking about the next step in the management of a clinical case involving a 24-year-old male with a tender mass in the perianal area and a history of recurrent presentations. This will involve evaluating various management options presented in the choices to determine the most appropriate next step.
Answer
Examination under general anesthesia.
The next step in management for a 24-year-old male with a tender mass, redness, and fistula in the perianal area is Examination under general anesthesia.
Answer for screen readers
The next step in management for a 24-year-old male with a tender mass, redness, and fistula in the perianal area is Examination under general anesthesia.
More Information
In cases of anal fistula with infection, examination under anesthesia allows for assessment and possibly definitive treatment such as drainage or surgery.
Tips
Avoid relying only on antibiotics as they do not address the underlying fistula.
Sources
- Abscess and Fistula - American Society of Colon and Rectal Surgeons - fascrs.org
- Anal Fistula | Johns Hopkins Medicine - hopkinsmedicine.org
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