Anorectal disorders: Difference between revisions
Line 34: Line 34:
===Bleeding, No Pain===
===Bleeding, No Pain===
#Cancer
#Cancer
#Internal hemorrhoid
#Internal [[hemorrhoid]]


===Painless Swelling===
===Painless Swelling===

Revision as of 06:04, 20 February 2014

DDX

  1. Anal Tags
  2. Hemorrhoids
  3. Cryptitis
  4. Anal Fissure
  5. Anal Fistula
  6. Anorectal Abscess
  7. Proctitis
  8. Rectal Prolapse
  9. Rectal Foreign Body
  10. Pruritus Ani
  11. Pilonidal Cyst

Algorithmic Diagnostic Approach

Pain and Bleeding

  1. External hemorrhoid
  2. Prolapsed internal hemorrhoid
  3. Anal Fissure
    1. Off midline = cancer, HIV, TB, Crohn's

Pain, No Bleeding

  1. Swelling
    1. Abscess
      1. Perirectal
      2. Ischiorectal
      3. Intersphincteric
      4. Supralevator
    2. Pilonidal Cyst
    3. Anal Fistula
    4. Hidradenitis suppurativa
  2. No swelling
    1. Proctalgia Fugax

Bleeding, No Pain

  1. Cancer
  2. Internal hemorrhoid

Painless Swelling

  1. Itch: Condyloma acuminata (warts 2/2 HPV)
  2. No itch: Rectal prolapse

Itching

  1. Discharge: Proctitis
  2. No discharge: Pruritis ani

See Also

Source

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