Anorectal disorders: Difference between revisions
ClaireLewis (talk | contribs) |
|||
| (21 intermediate revisions by 2 users not shown) | |||
| Line 1: | Line 1: | ||
==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}} | ||
== | ==Evaluation== | ||
=== | ===Algorithmic Diagnostic Approach=== | ||
*Pain | |||
**Bleeding | |||
***External [[hemorrhoid]] | |||
***Prolapsed internal [[hemorrhoid]] | |||
***[[Anal Fissure]] | |||
****Off midline = cancer, [[HIV]], [[TB]], [[Crohn's]] | |||
**No bleeding | |||
***Swelling | |||
****[[Anorectal abscess]] | |||
*****Perirectal | |||
*****Ischiorectal | |||
*****Intersphincteric | |||
*****Supralevator | |||
****[[Pilonidal cyst]] | |||
****[[Anal fistula]] | |||
****Hidradenitis suppurativa | |||
***No swelling | |||
****[[Proctalgia fugax]] | |||
*No pain | |||
**Bleeding | |||
***Cancer | |||
***Internal [[hemorrhoid]] | |||
**Swelling | |||
***Itch: [[Condyloma acuminata]] | |||
***No itch: [[Rectal prolapse]] | |||
**Itching | |||
***Discharge: [[Proctitis]] | |||
***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