Anorectal disorders: Difference between revisions
| Line 3: | Line 3: | ||
==Algorithmic Diagnostic Approach== | ==Algorithmic Diagnostic Approach== | ||
*Pain | |||
*External [[hemorrhoid]] | **Bleeding | ||
*Prolapsed internal [[hemorrhoid]] | ***External [[hemorrhoid]] | ||
*[[Anal Fissure]] | ***Prolapsed internal [[hemorrhoid]] | ||
**Off midline = cancer, [[HIV]], [[TB]], [[Crohn's]] | ***[[Anal Fissure]] | ||
****Off midline = cancer, [[HIV]], [[TB]], [[Crohn's]] | |||
**No bleeding | |||
*Swelling | ***Swelling | ||
**[[Anorectal abscess]] | ****[[Anorectal abscess]] | ||
***Perirectal | *****Perirectal | ||
***Ischiorectal | *****Ischiorectal | ||
***Intersphincteric | *****Intersphincteric | ||
***Supralevator | *****Supralevator | ||
**[[Pilonidal cyst]] | ****[[Pilonidal cyst]] | ||
**[[Anal fistula]] | ****[[Anal fistula]] | ||
**Hidradenitis suppurativa | ****Hidradenitis suppurativa | ||
*No swelling | ***No swelling | ||
**[[Proctalgia fugax]] | ****[[Proctalgia fugax]] | ||
*No pain | |||
**Bleeding | |||
*Cancer | ***Cancer | ||
*Internal [[hemorrhoid]] | ***Internal [[hemorrhoid]] | ||
**Swelling | |||
***Itch: Condyloma acuminata (warts secondary to HPV) | |||
*Itch: Condyloma acuminata (warts secondary to HPV) | ***No itch: Rectal prolapse | ||
*No itch: Rectal prolapse | **Itching | ||
***Discharge: [[Proctitis]] | |||
***No discharge: [[Pruritus Ani]] | |||
*Discharge: [[Proctitis]] | |||
*No discharge: [[Pruritus Ani]] | |||
==See Also== | ==See Also== | ||
Revision as of 17:29, 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
- 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 (warts secondary to HPV)
- No itch: Rectal prolapse
- Itching
- Discharge: Proctitis
- No discharge: Pruritus Ani
- Bleeding