Unbounded Medicine

BEWARE! Gory image

A 45 year old male with history of chronic reducible hemorrhoidal disease came to the emergency department with excruciating pain, rectal bleeding and an anal non-redicible mass after a bowel movement.
On examination, we found this:

In this case, the only way to reduce the prolapse is a procedure for prolapsing hemorrhoids (PPH) which is […]

Grand Rounds is up this week at Medical Humanities.

This garden edition is great! Medicine is also art.
Regards,
Jon Mikel Iñarritu, M.D.