UEMS Surg

Tenderness should alert APN to perianal abscess, anorectal fistula, plionidal cysts, or pruritus ani. Anus: Skin around anus should appear coarser and more dark; assess for lesions, tags, warts, hemorrhoids, fissures and fistulas—ask pt. to bear down and assess for fistulas, fissures, prolapse, polyps and hemorrhoids—describe by clock location ................
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