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Short Answer Questions for ED Fellowship Study

Case: Perianal abscess

A 45-year-old male presents to your emergency department with a three-day history of worsening perianal pain. He describes a dull, throbbing pain that is worse with defecation and reports mild swelling near the anal verge.

1. List three risk factors for the development of an anorectal abscess. 3 marks

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2. Complete the table below, describing (3) clinical features that differentiate a simple perianal abscess from a more complex anorectal infection 3 marks

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3. Outline an approach to management of a simple perianal abscess. 4 marks

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4. Give two indications for urgent surgical management of complex anorectal infection. 2 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.