Anorectal disorders: Difference between revisions
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##Off midline = cancer, [[HIV]], [[TB]], [[Crohn's]] | ##Off midline = cancer, [[HIV]], [[TB]], [[Crohn's]] | ||
===Pain | ===Pain and No Bleeding=== | ||
#Swelling | #Swelling | ||
##[[Anorectal Abscess|Abscess]] | ##[[Anorectal Abscess|Abscess]] | ||
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##[[Proctalgia Fugax]] | ##[[Proctalgia Fugax]] | ||
===Bleeding | ===Painless Bleeding=== | ||
#Cancer | #Cancer | ||
#Internal [[hemorrhoid]] | #Internal [[hemorrhoid]] | ||
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===Itching=== | ===Itching=== | ||
#Discharge: Proctitis | #Discharge: [[Proctitis]] | ||
#No discharge: [[Pruritus Ani]] | #No discharge: [[Pruritus Ani]] | ||
Revision as of 06:35, 20 February 2014
DDX
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 2/2 HPV)
- No itch: Rectal prolapse
Itching
- Discharge: Proctitis
- No discharge: Pruritus Ani