#february2020amc1
A 25 year old white male truck driver complains of 1 day of throbbing rectal pain. Your examination shows a large, thrombosed external hemorrhoid. Which one of the following is the preferred initial treatment for this patient?
a) Warm sitz baths, a high-residue diet, and NSAIDs
b) Rubber band ligation of the hemorrhoid
c) Elliptical excision of the thrombosed hemorrhoid
d) Stool softeners and a topical analgesic/hydrocortisone cream (e.g.,
Anusol-HC)
A 25 year old white male truck driver complains of 1 day of throbbing rectal pain. Your examination shows a large, thrombosed external hemorrhoid. Which one of the following is the preferred initial treatment for this patient?
a) Warm sitz baths, a high-residue diet, and NSAIDs
b) Rubber band ligation of the hemorrhoid
c) Elliptical excision of the thrombosed hemorrhoid
d) Stool softeners and a topical analgesic/hydrocortisone cream (e.g.,
Anusol-HC)
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