Anorectal disorders: Difference between revisions
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==Background== | |||
[[File:Rectum anatomy en.png|thumb|Anatomy of the anus and rectum.]] | |||
[[File:Human anus-en.png|thumb|Anatomy of the anus.]] | |||
[[File:Gray1080.png|thumb|The interior of the anal cami and lower part of the rectum, showing the anal columns and the anal valves between their lower ends (columns in image numerous than typical).]] | |||
[[File:Gray1078.png|thumb|Coronal section of rectum and the anal canal.]] | |||
==Clinical Features== | |||
==Visual Diagnosis== | |||
<gallery mode="packed"> | |||
File:PMC2653786 ijmsv06p0077g13.png|[[Anal tags]] | |||
File:DSCB4096(anal worms or just toilet paper remainders@).jpg|[[Enterobius]] (pinworms) | |||
File:M 44 anus 22.jpg|[[External hemorrhoid]] | |||
File:Anal fissure 2.jpg|[[Anal fissure]] | |||
File:SOA-Condylomata-acuminata-around-anus.jpg|[[Anal warts]] | |||
File:Perianalabscess.jpg|[[Perianal abscess]] | |||
File:Hemrrhoids 05.jpg|[[Internal hemorrhoid]] with prolapse | |||
File:Pilonidal abscess.jpg|[[Pilonidal cyst]] | |||
File:Full thickness rectal prolapse & mucosal prolapse..jpg|[[Rectal prolapse]] | |||
</gallery> | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Anorectal DDX}} | {{Anorectal DDX}} | ||
==Algorithmic Diagnostic Approach== | ==Evaluation== | ||
===Algorithmic Diagnostic Approach=== | |||
*Pain | *Pain | ||
**Bleeding | **Bleeding | ||
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***No discharge: [[Pruritus Ani]] | ***No discharge: [[Pruritus Ani]] | ||
== | |||
==Management== | |||
==Disposition== | |||
==See Also== | ==See Also== | ||
*[[Diagnoses by Body Part (Main)]] | *[[Diagnoses by Body Part (Main)]] | ||
==External Links== | |||
==References== | |||
==References== | ==References== | ||
Latest revision as of 15:56, 23 April 2025
Background
Clinical Features
Visual Diagnosis
Enterobius (pinworms)
Internal hemorrhoid with prolapse
.jpg)
Differential Diagnosis
Anorectal Disorders
- Anal fissure
- Anal fistula
- Anal malignancy
- Anal tags
- Anorectal abscess
- Coccydynia
- Colorectal malignancy
- Condyloma acuminata
- Constipation
- Crohn's disease
- Cryptitis
- GC/Chlamydia
- Fecal impaction
- Hemorrhoids
- Levator ani syndrome
- Pedunculated polyp
- Pilonidal cyst
- Proctalgia fugax
- Proctitis
- Pruritus ani
- Enterobius (pinworms)
- Rectal foreign body
- Rectal prolapse
- Syphilitic fissure
Non-GI Look-a-Likes
Evaluation
Algorithmic Diagnostic Approach
- Pain
- Bleeding
- External hemorrhoid
- Prolapsed internal hemorrhoid
- Anal Fissure
- No bleeding
- Swelling
- Anorectal abscess
- Perirectal
- Ischiorectal
- Intersphincteric
- Supralevator
- Pilonidal cyst
- Anal fistula
- Hidradenitis suppurativa
- Anorectal abscess
- No swelling
- Swelling
- Bleeding
- No pain
- Bleeding
- Cancer
- Internal hemorrhoid
- Swelling
- Itch: Condyloma acuminata
- No itch: Rectal prolapse
- Itching
- Discharge: Proctitis
- No discharge: Pruritus Ani
- Bleeding