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==Physical Examination==
==Physical Examination==
===General appearance===
===General appearance===
Patients with acute prolapsed or thrombosed hemorrhoids usually appear ill and in pain.
Patients with acute prolapsed or thrombosed hemorrhoids usually appear ill and in pain.<ref name="pmid28567655">{{cite journal |vauthors=Guttenplan M |title=The Evaluation and Office Management of Hemorrhoids for the Gastroenterologist |journal=Curr Gastroenterol Rep |volume=19 |issue=7 |pages=30 |year=2017 |pmid=28567655 |doi=10.1007/s11894-017-0574-9 |url=}}</ref>
===Vital signs===
===Vital signs===
Unless the hemorrhoids are  infected, vital signs are usually within normal limits
Unless the hemorrhoids are  infected, vital signs are usually within normal limits

Revision as of 20:42, 20 June 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]

Overview

Patients with acute prolapsed or thrombosed hemorrhoids usually appear ill and in pain. Physical examination of patients with hemorrhoids is usually remarkable for [finding 1], [finding 2], and [finding 3].

Physical Examination

General appearance

Patients with acute prolapsed or thrombosed hemorrhoids usually appear ill and in pain.[1]

Vital signs

Unless the hemorrhoids are infected, vital signs are usually within normal limits

Skin examination

  • Inspection of the anal verge may show itching marks and skin tags.
  • Inspection also may reveal external hemorrhoids or prolapsed internal hemorrhoids

Digital rectal examination

  • Digital rectal examination reveals the size and location of hemorrhoids.
  • Thrombosed hemorrhoids are tender to palpation.
  • Internal hemorrhoids are not palpable by digital rectal examination and the use of anoscope is mandatory.
By Dr. Joachim Guntau - www.Endoskopiebilder.de, CC BY-SA 3.0, httpscommons.wikimedia.orgwindex.phpcurid=18660152
By Dr. Joachim Guntau - www.Endoskopiebilder.de, CC BY-SA 3.0, httpscommons.wikimedia.orgwindex.phpcurid=18660115
By Tmalonetn - Own work, CC BY-SA 3.0, httpscommons.wikimedia.orgwindex.phpcurid=10358212
By Internet Archive Book Images - httpswww.flickr.comphotosinternetarchivebookimages14784684835Source book page httpsarchive.orgstreamdiseasesofrectum00gantdiseasesofrectum00gant-pagen490mode1up, No restrictions, ht

References

  1. Guttenplan M (2017). "The Evaluation and Office Management of Hemorrhoids for the Gastroenterologist". Curr Gastroenterol Rep. 19 (7): 30. doi:10.1007/s11894-017-0574-9. PMID 28567655.

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