SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Thrombosed haemorrhoid

A 30-year-old male with perianal pain attends your rural emergency department. On examination, you find a thrombosed external haemorrhoid.

1. List (4) clinical features that make conservative treatment appropriate for this patient 4 marks

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2. List (4) situations or contraindications where local excision in the emergency department would not be recommended or safe (other than a patient not cooperating or consenting for the procedure 4 marks

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You decide to perform local excision of this patient’s thrombosed external haemorrhoids in the emergency department. Informed consent has been obtained, and the patient is in a safe and appropriate area. You have performed hand hygiene and are wearing PPE

3. List (4) steps for this procedure. 4 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.