HISTORY:
for
Onset:
Pattern:
Treatments tried: ,
, , , clots
, episodes ,
, , ,
, up to °, over
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Abdomen: , , ,
Anorectal: DRE , prostate , anus
ASSESSMENT:
DDx:
PLAN:
- Blood work: , , ,
- Colonoscopy
-
-
-
- Incision and drainage for thrombosed external hemorrhoids
- Sitz baths
- Increase fluid intake
- Increase dietary fiber
- Referral to gastroenterologist
- Referral to surgeon
- Follow-up in
- Return if symptoms worsen, if new symptoms develop such as weight loss or blood in stools, or if symptoms do not improve with treatment