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COLORECTAL DISEASE
Case #9 -
28 year old male presents with purulent drainage

DISCUSSION QUESTIONS:
1.) What additional history is needed in this patient?
 
Answer 
2.) What is the origin of most anal fistulas?
 
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3.) If an anal fistula is not healing or is recurrent, what are possible causes?
 
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4.) On physical examination, what would you expect to find?
 
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5.) What anatomy must you consider in the diagnosis and management of anal fistula?
 
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6.) What is Goodsall's rule regarding the external fistula opening?
 
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7.) Once you diagnose an anal fistula, what are the treatment options? What governs your choice of therapy?
 
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  The Virtual Patient > Case List > COLORECTAL DISEASE - Case # 9