Anorectal disorders: Difference between revisions
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==Background== | ==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== | ==Clinical Features== | ||
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<gallery mode="packed"> | <gallery mode="packed"> | ||
File:PMC2653786 ijmsv06p0077g13.png|[[Anal tags]] | 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:M 44 anus 22.jpg|[[External hemorrhoid]] | ||
File:Anal fissure 2.jpg|[[Anal fissure]] | File:Anal fissure 2.jpg|[[Anal fissure]] | ||
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File:Hemrrhoids 05.jpg|[[Internal hemorrhoid]] with prolapse | File:Hemrrhoids 05.jpg|[[Internal hemorrhoid]] with prolapse | ||
File:Pilonidal abscess.jpg|[[Pilonidal cyst]] | File:Pilonidal abscess.jpg|[[Pilonidal cyst]] | ||
File:Full thickness rectal prolapse & mucosal prolapse..jpg|[[Rectal prolapse]] | |||
</gallery> | </gallery> | ||
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