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Deep anal examinaiton and syringe needle

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Added: 30.09.2018
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Patient Information Handout. External hemorrhoids represent distended vascular tissue in the anal canal distal to the dentate line. Persons with thrombosed external hemorrhoids usually present with pain on standing, sitting or defecating. Acutely tender, thrombosed external hemorrhoids can be surgically removed if encountered within the first 72 hours after onset. Hemorrhoidectomy is performed through an elliptic incision over the site of thrombosis with removal of the entire diseased hemorrhoidal plexus in one piece. Caution must be exercised to avoid cutting into the muscle sphincter below the hemorrhoidal vessels.
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Hemorrhoidectomy for Thrombosed External Hemorrhoids

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Not a MyNAP member yet? Register for a free account to start saving and receiving special member only perks. In order to evaluate the efficacy of needle exchange programs, we must examine what they attempt to accomplish, and how they go about accomplishing it. Needle exchange programs have as their goal reducing the transmission of HIV and other pathogens among injection drug users. Such programs typically attempt to achieve their aims through three different kinds of interventions: first, the provision of materials such as sterile needles, bleach for syringe cleaning, and condoms; second, by providing education and information; and third, by referring clients to other interventions, such as drug treatment programs, social services, and medical care. The success of all of these interventions may be achieved through behavior change. Freer access to sterile needles, bleach, and condoms may offer participants the materials necessary to adopt new, less-risky injection and sexual practices, and education may provide them with the motivation and skills necessary to make those changes.
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