Surgery
Pilonidal Sinus Disease
Recognise acute abscess (drainage) + chronic sinus (excision options), prevent recurrence with hygiene + hair removal.
Source: ACPGBI; BAUS
Step 1 of ~4
info
Recognise
Pilonidal sinus: chronic infection of sinus tract in natal cleft (sacrococcygeal area). Most common: young men with hirsutism + sedentary occupation.
Clinical: midline pits in natal cleft, lateral tracks, intermittent discharge, recurrent abscess, pain.
Distinguish: acute pilonidal abscess vs chronic sinus / fistula.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Entacapone · COMT Inhibitor — Parkinson's Disease
- Neostigmine · Anticholinesterase (Reversal Agent)
- Prilocaine · Local Anaesthetic (Amide)
- Mepivacaine with adrenaline · Amide LA + vasoconstrictor
- Neostigmine with glycopyrronium · Anticholinesterase + antimuscarinic
- Lidocaine hydrochloride · Amide local anaesthetic / Class IB antiarrhythmic
Pathways
- Major Trauma — Primary Survey (ATLS) · ATLS 10th Edition; JRCALC; NICE NG39
- Major Haemorrhage / Massive Transfusion · BCSH; RCOA; RCEM; RCS — BCSH Guidelines
- Burns — TBSA Estimation & Fluid Resuscitation · British Burn Association; EMSB; RCEM 2024
- Lower Gastrointestinal Bleed · NICE; BSG; ACPGBI — Commissioning Guide
- Acute Pancreatitis · NICE; IAP/APA; ACPGBI — CG104
- Hypertrophic Pyloric Stenosis · BAPS / RCPCH
Decision support only. Always apply local guidelines and clinical judgement.