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General Reference ⬇

(C. McKee 7/07)

Pathophys and Cause ⬆ ⬇

Pathophys:Tear and ulcer on dentate line, over internal sphincter, hence painful spasm

Signs and Symptoms ⬆ ⬇

Si:Nearly all are midline, 12 o’clock or 6 o’clock

Treatment ⬆

Rx:Sitz baths, topical TNG, stool sofenters, Valium, surgery if >2 mos