A 58-year-old man presented to the emergency department due to severe anal pain. The patient has had constipation for the last 8 months, he has seen blood streaks over the stool. The patient does not report gastrointestinal symptoms like nausea, vomiting, or abdominal pain. He has no weight loss. Physical examination reveals multiple purplish-blue bulges seen in the anal canal below the pectinate line. Excision under local anesthesia is planned. Which of the following nerves should be targeted in the local anesthesia?

Question

Quizplus · Accepted Answer

Eductional Objective: The external hemorrhoids originate below the dentate line. They receive somatic innervation from the pudendal nerve. Therefore, external hemorrhoids complications are usually painful.

A 58-Year-Old Man Presented to the Emergency Department Due to Severe