Q:

A 65 year old lady with type 1 diabetes mellitus for the last 20 year comes with a tender lump near the anal opening. She says she also has a fever. What treatment should she get?

waelhammad
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2022-11-04
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A 65 year old lady with type 1 diabetes mellitus for the last 20 year comes with a tender lump near the anal opening. She says she also has a fever. What treatment should she get?

  1. I&D + antibiotics
  2. IV antibiotics
  3. C&S of aspirate from swelling
  4. Painkillers
  5. Cautery of swelling
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waelhammad
2022-11-04
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The key is A. I&D + antibiotics. [D/D 1. Perianal abscess 2. Perianal hematoma 3. Thrombosed piles. As infection is common in DM likely case is perianal abscess].

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