I just got a request for some lidocaine/hydrocortisone cream for a patient. The diagnosis wasn't just hemorrhoids, no, no. It was so much more descriptive! This patient has. . .. . . .wait for it. . . . . .here it comes: hemorrhoids NOS (not otherwise specified) with necrosis. Yep, I said necrosis. As in: Death of a cell or group of cells as a result of injury, disease, or other pathologic state.
Her hemorrhoids are likely becoming blackened as the tissue cells are dying. The mental pictures are more horrifying than I can explain! All I can say is EEEEEEWWWWWWWWW! Poor woman! Oh, and here's the cherry on top: she's got a bun in the oven.
Here is my minimal emesis inducing example of necrosis:
And now, I have shared. (shudder)
Well, off to lunch now!