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ANAL FISSURE
An anal fissure is a disruption of the skin at the distal anal canal.
Most fissures are seen by separating the buttocks with opposing traction of the thumbs.
Majority of fissures are located in the posterior midline of the anus.
Acute fissures are simple splits or cracks in the anoderm while chronic fissures may show secondary changes eg sentinel tag, hypertrophied anal papilla, rolled edges, fibrosis of the edges or deep ulceration with exposure of the underlying internal anal sphincter muscle within the fissure's base.
Drug Information

Indication: CHD: Chronic stable angina pectoris; HTN.

Indication: Local anesth of the mucous membrane.

Botox
clostridium botulinum toxin type A

Indication: Blepharospasm associated w/ dystonia, including benign essential blepharospasm, hemifacial spasm, VIIth nerve ...

Indication: Topical anesth for use prior to procedures related to needle insertion & superficial surgical procedures.

Dysport
botulinum A toxin

Indication: Symptomatic treatment of focal spasticity of upper limbs in adults & dynamic equinus foot deformity in amb...

Indication: Surface anaesth of skin during needle insertion, superficial surgical procedures; leg ulcers prior to cleaning...

Liproct
hydrocortisone acetate + lidocaine + zinc oxide

Indication: Hemorrhoids, pruritus ani, proctitis, anal fissures, post-op pain relief.

Indication: Most major nerve blocks eg, sciatic & retrobulbar.

Indication: Surface anesth of the skin in connection w/ needle insertion, leg ulcers prior to cleaning & for superfici...

Indication: Local or regional anaesth, peripheral nerve block, infiltration anaesth & diagnostic or therapeutic block.

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