KPJ HEALTHCARE UNIVERSITY
SCHOOL OF NURSING
DIPLOMA IN NURSING
COHORT 71/YEAR 2 SEMESTER 2
THROMBOSED HAEMORRHOID
MRN: 3042203076
, Table of contents
No Contents Pages
1 Introduction 3-4
2 Acknowledgement 5-6
3 Learning Outcomes 7-8
4 Assessment 9-11
5 Physical Examination 12-15
6 Activity Daily Living 16-17
7 Orientation 18-19
8 Anatomy and Physiology 20-22
9 Definition 23-24
10 Types 25-27
11 Etiology and Risk factors 28-32
12 Pathophysiology 33-35
13
14
INTRODUCTION
Clinical Manifestation
Complication
36-37
38-39
15 Diagnostic Investigation 40-48
16 Treatment 49-52
17 Medication 53-79
18 Nursing Care Plan 80-98
19 Health Education 99-102
20 Discharge 103-104
21 Follow Up 105-106
22 Summary 107-109
23 Conclusion 110-111
24 References 112-114
25 Appendixes 115
2
, Introduction
This case study was written for my Diploma in Nursing at KPJ University, Nilai. The topic of
this case study is related to Thrombosed Haemorrhoid. This is very fascinating topic for me
as is it under gastrointestinal subject. I am very interested in this subject because of process
of disease and anatomy of gastrointestinal are impressive me most of the time. Besides that, I
keen to learn more about gastrointestinal throughout my case study process more enjoyable
and exciting.
Back to my case study topic which is about Thrombosed Haemorrhoid. According to
my understanding, thrombosed haemorrhoid is a volume rectal bleeding may be caused by
anal fissure or fistula, neoplasm of the distal colon or rectum, ulcerative colitis, infectious
proctitis or rectal ulcer. The haemorrhoid prolapse is the pile of haemorrhoid slip down and
out from the anal canal. It most commonly occurs in otherwise healthy young adults and may
be precipitated by coughing, heavy lifting or straining the stool. So, the thrombosis of the
haemorrhoid plexus is results in a perianal hematoma.
Thanks to God, I did finish my case study successfully with the guidance and strong
support from the nurse instructor, doctor, staff nurses and from several medical books as
references for this disease.
3
, ACKNOWLEDGEMENT
Acknowledgement
4
SCHOOL OF NURSING
DIPLOMA IN NURSING
COHORT 71/YEAR 2 SEMESTER 2
THROMBOSED HAEMORRHOID
MRN: 3042203076
, Table of contents
No Contents Pages
1 Introduction 3-4
2 Acknowledgement 5-6
3 Learning Outcomes 7-8
4 Assessment 9-11
5 Physical Examination 12-15
6 Activity Daily Living 16-17
7 Orientation 18-19
8 Anatomy and Physiology 20-22
9 Definition 23-24
10 Types 25-27
11 Etiology and Risk factors 28-32
12 Pathophysiology 33-35
13
14
INTRODUCTION
Clinical Manifestation
Complication
36-37
38-39
15 Diagnostic Investigation 40-48
16 Treatment 49-52
17 Medication 53-79
18 Nursing Care Plan 80-98
19 Health Education 99-102
20 Discharge 103-104
21 Follow Up 105-106
22 Summary 107-109
23 Conclusion 110-111
24 References 112-114
25 Appendixes 115
2
, Introduction
This case study was written for my Diploma in Nursing at KPJ University, Nilai. The topic of
this case study is related to Thrombosed Haemorrhoid. This is very fascinating topic for me
as is it under gastrointestinal subject. I am very interested in this subject because of process
of disease and anatomy of gastrointestinal are impressive me most of the time. Besides that, I
keen to learn more about gastrointestinal throughout my case study process more enjoyable
and exciting.
Back to my case study topic which is about Thrombosed Haemorrhoid. According to
my understanding, thrombosed haemorrhoid is a volume rectal bleeding may be caused by
anal fissure or fistula, neoplasm of the distal colon or rectum, ulcerative colitis, infectious
proctitis or rectal ulcer. The haemorrhoid prolapse is the pile of haemorrhoid slip down and
out from the anal canal. It most commonly occurs in otherwise healthy young adults and may
be precipitated by coughing, heavy lifting or straining the stool. So, the thrombosis of the
haemorrhoid plexus is results in a perianal hematoma.
Thanks to God, I did finish my case study successfully with the guidance and strong
support from the nurse instructor, doctor, staff nurses and from several medical books as
references for this disease.
3
, ACKNOWLEDGEMENT
Acknowledgement
4
