Pain in the Gluteus Maximus
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 27 March 2023
⏱️ 12 minutes
🧾️ Download transcript
Summary
Let's talk about a pain in the butt. No, not your coworker or boss. But, a different kind of pain that is chronic, bothersome and annoying. We are talking about hemorrhoids, also known as piles, if you are listening outside the U.S.
We will go over the two different types of hemorrhoids, internal or external, and how to determine which one your patient has. They could have both! Next, you'll want to take a good history and physical to determine the treatments.
Join Dr. Niket Sonpal to help take care of that pain in the gluteus maximus.
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Transcript
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| 0:00.0 | Many times when we're working in health care, we can experience weeks that are a pain in the ASS or a pain the gluteus maximus. |
| 0:06.6 | And sometimes your patients will come in and say that they have also a pain somewhere in their gluteous maximus. |
| 0:12.8 | Now we've talked about pylenital disease, which isn't truly rectal pain, |
| 0:16.8 | it's actually pain above the gluteal cleft. |
| 0:18.6 | But there is a condition that's going to cause your patients to come into the hospital |
| 0:22.0 | or maybe come into the office. |
| 0:23.2 | It's a chronic pain, it's annoying, it's bothersome, and it can actually vary in presentation. |
| 0:28.5 | What are we talking about? |
| 0:29.7 | That's right, hemorrhoids. |
| 0:30.9 | This week we're going to be diving into the topic of |
| 0:32.8 | hemorrhoids because these are two topics that many people tend to make |
| 0:36.2 | mistakes with, they're unsure how to diagnose it and manage it, so let's jump |
| 0:39.9 | right into this week's topic on the pain in the |
| 0:43.0 | ASS. Now I won't say the word because some of you |
| 0:45.3 | told me your children actually listen to my podcast and I'm very |
| 0:47.9 | flattered with that and if you tell me that they're actually |
| 0:49.8 | falling asleep to it I'll still be just as flattered. I am Dr. Nachet Son Paul, your friendly |
| 0:54.1 | neighborhood internist and gastereologist. |
| 0:56.0 | Kew that music, my man. Now the first thing we have to explain to our patients is that hemorrhoids aren't something they got from eating or as one of my patients thought it was a contagious thing. |
| 1:17.5 | Hemoroids arise from a plexus of dilated arteriore venous channels. |
| 1:21.8 | These veins that are normal anatomic structures |
| 1:24.6 | are located specifically in the submucosa layer, |
... |
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