Tag 1- A91/ B73, perianale Schmerzen

[clyde_frog]

https://www.dynamed.com/condition/an...sure#PHYSICAL:

rectal exam can confirm diagnosis but may be limited by patient pain and discomfort

chronic fissures may present with:
edema
fibrosis
indurated ulcer with exposed white fibers of the internal anal sphincter visible at the fissure base
sentinel skin tag (small external lump) (indicates likely fissure even if fissure not readily visible)
hypertrophied anal papilla in anal canal proximal to the fissure

location of fissures:
up to 90% reported to be located posteriorly

Das passt alles zu dem Fall in der Prüfung

Altomare DF, Binda GA, Canuti S, Landolfi V, Trompetto M, Villani RD. The management of patients with primary chronic anal fissure: a position paper. Tech Coloproctol. 2011 Jun;15(2):135-41

[bricolux1993]

richtige Antwort ist wohl Analfissur.

Seite 16https://www.unispital-basel.ch/filea...roktologie.pdf