Anorectal disorders: Difference between revisions
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==Algorithmic Diagnostic Approach== | ==Algorithmic Diagnostic Approach== | ||
===Pain and Bleeding=== | ===Pain and Bleeding=== | ||
*External [[hemorrhoid]] | |||
*Prolapsed internal [[hemorrhoid]] | |||
*[[Anal Fissure]] | |||
**Off midline = cancer, [[HIV]], [[TB]], [[Crohn's]] | |||
===Pain and No Bleeding=== | ===Pain and No Bleeding=== | ||
*Swelling | |||
**[[Anorectal Abscess|Abscess]] | |||
***Perirectal | |||
***Ischiorectal | |||
***Intersphincteric | |||
***Supralevator | |||
**[[Pilonidal Cyst]] | |||
**[[Anal Fistula]] | |||
**Hidradenitis suppurativa | |||
*No swelling | |||
**[[Proctalgia Fugax]] | |||
===Painless Bleeding=== | ===Painless Bleeding=== | ||
*Cancer | |||
*Internal [[hemorrhoid]] | |||
===Painless Swelling=== | ===Painless Swelling=== | ||
*Itch: Condyloma acuminata (warts secondary to HPV) | |||
*No itch: Rectal prolapse | |||
===Itching=== | ===Itching=== | ||
*Discharge: [[Proctitis]] | |||
*No discharge: [[Pruritus Ani]] | |||
==See Also== | ==See Also== | ||
Revision as of 17:24, 8 November 2018
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
Algorithmic Diagnostic Approach
Pain and Bleeding
- External hemorrhoid
- Prolapsed internal hemorrhoid
- Anal Fissure
Pain and No Bleeding
- Swelling
- Abscess
- Perirectal
- Ischiorectal
- Intersphincteric
- Supralevator
- Pilonidal Cyst
- Anal Fistula
- Hidradenitis suppurativa
- Abscess
- No swelling
Painless Bleeding
- Cancer
- Internal hemorrhoid
Painless Swelling
- Itch: Condyloma acuminata (warts secondary to HPV)
- No itch: Rectal prolapse
Itching
- Discharge: Proctitis
- No discharge: Pruritus Ani