Anal fissure physical examination: Difference between revisions
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===HEENT=== | ===HEENT=== | ||
* HEENT examination of patients with | * HEENT examination of patients with anal fissure is usually normal. | ||
===Neck=== | ===Neck=== | ||
* Neck examination of patients with | * Neck examination of patients with anal fissure is usually normal. | ||
===Lungs=== | ===Lungs=== | ||
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===Abdomen=== | ===Abdomen=== | ||
Abdominal examination of patients with [disease name] is usually normal. | Abdominal examination of patients with [disease name] is usually normal. | ||
===Back=== | ===Back=== | ||
Revision as of 21:58, 28 December 2017
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Anal fissure Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Anal fissure physical examination On the Web |
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American Roentgen Ray Society Images of Anal fissure physical examination |
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Risk calculators and risk factors for Anal fissure physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
Physical Examination
- Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
- The presence of [finding(s)] on physical examination is diagnostic of [disease name].
- The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Appearance of the Patient
- Patients with [disease name] usually appear [general appearance].
Vital Signs
- High-grade / low-grade fever
- Hypothermia / hyperthermia may be present
- Tachycardia with regular pulse or (ir)regularly irregular pulse
- Bradycardia with regular pulse or (ir)regularly irregular pulse
- Tachypnea / bradypnea
- Kussmal respirations may be present in _____ (advanced disease state)
- Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
- High/low blood pressure with normal pulse pressure / wide pulse pressure / narrow pulse pressure
Skin
- Skin examination of patients with [disease name] is usually normal.
OR
HEENT
- HEENT examination of patients with anal fissure is usually normal.
Neck
- Neck examination of patients with anal fissure is usually normal.
Lungs
- Pulmonary examination of patients with anal fissure is usually normal.
Heart
- Cardiovascular examination of patients with anal fissure is usually normal.
Abdomen
Abdominal examination of patients with [disease name] is usually normal.
Back
- Back examination of patients with [disease name] is usually normal.
OR
- Point tenderness over __ vertebrae (e.g. L3-L4)
- Sacral edema
- Costovertebral angle tenderness bilaterally/unilaterally
- Buffalo hump
Genitourinary
- Genitourinary examination of patients with [disease name] is usually normal.
OR
- A pelvic/adnexal mass may be palpated
- Inflamed mucosa
- Clear/(color), foul-smelling/odorless penile/vaginal discharge
Local/anal examination
 |
 |
Inspection
On inspection, there is a breach in the skin. A laceration can be seen usually in the posterior midline in 90% of patients while in the remaining 10% of patients in the anterior midline.
Palpation
Anal fissures are usually exquisitely tender and the patient is scared to touch them or let physician examine.
Neuromuscular
- Neuromuscular examination of patients with [disease name] is usually normal.
Extremities
- Extermities examination of patients with [disease name] is usually normal.
OR
- Clubbing
- Cyanosis
- Pitting/non-pitting edema of the upper/lower extremities
- Muscle atrophy
- Fasciculations in the upper/lower extremity