Cherry angiomas are small, non-cancerous red or purple spots that can appear on the skin. Most people develop cherry angiomas after age 30, and they can increase in number as you age. While cherry ...

Understanding the Context

Thrombosed hemorrhoids occur when a blood clot forms inside a hemorrhoidal vein, obstructing blood flow and causing a painful swelling of the perianal tissues. Most thrombosed hemorrhoids are external, meaning they occur below the dentate line, but thrombosis of internal hemorrhoids is also possible. On the other hand, if a patient with complicated or thrombosed external hemorrhoids presents within four days of thrombosis, they can be managed by an office-based incision of hemorrhoid to relieve pain. On the other hand, painful perianal diseases include thrombosed hemorrhoids, abscesses, anal fissures, and pruritus ani.

Key Insights

When assessing a patient with a chief concern suggesting perianal disease, your first step is to obtain a focused history and physical examination, including a digital rectal exam. Start by evaluating for perianal pain.