AOBPr Proctology case studies
AOBPr Proctology · Put your knowledge to work in context.
The AOA Osteopathic Board Certification in Proctology is a specialty board credential administered by the American Osteopathic Board of Proctology (AOBPr), one of the AOA's specialty certifying boards. It is intended for osteopathic physicians (DOs) practicing in proctology who want to affirm their commitment to ongoing evidence-based education resulting in high-quality whole person care. The AOBPr Proctology case studies are 5 cases and about 2,520 words.
1Acute Thrombosed External Hemorrhoid in a Patient on Dual Antiplatelet Therapy
A 58-year-old man presents 48 hours after the sudden onset of a firm, painful perianal nodule. He had a drug-eluting stent placed 5 months ago and takes aspirin 81 mg daily plus clopidogrel 75 mg daily.
619 words, about 3 min2Suspected Perianal Abscess Versus Fistula in a Diabetic Patient
A 44-year-old woman with type 2 diabetes (HbA1c 9.1%) presents with 4 days of throbbing perianal pain, fever to 38.4°C, and painful defecation. On examination there is a tender, indurated, fluctuant swelling at the left posterior perianal region about 3 cm from the anal verge, with overlying erythema but no spontaneous drainage.
475 words, about 2 min3High Transsphincteric Fistula and Incontinence Risk in a Younger Patient
A 36-year-old nulliparous woman with a chronic high transsphincteric fistula (posterior, tracking through a substantial portion of the external sphincter) has failed two prior seton placements. She has intermittent soiling and urgency, and reports fear of incontinence.
467 words, about 2 min4Anal Fissure Nonhealing and the OCC Maintenance-of-Certification Decision Point
A 41-year-old man has a 9-month history of posterior anal fissure with severe pain on defecation and minor bleeding. He has used topical nitroglycerin and then topical diltiazem for 8 weeks each, plus fiber and sitz baths, without healing.
495 words, about 2 min5Rectal Bleeding in a 62-Year-Old: Balancing Benign Explanation Against Malignancy Risk
A 62-year-old woman presents with 3 months of intermittent bright red rectal bleeding and a change in stool caliber. She has iron-deficiency anemia (hemoglobin 10.2 g/dL, ferritin low) and a family history of colorectal cancer in her father at age 66.
464 words, about 2 min