Anal fissure physical examination: Difference between revisions
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===Vital Signs=== | ===Vital Signs=== | ||
*[[Tachycardia]] with regular pulse(in pain). | |||
* | ===Skin=== | ||
*Skin examination of patients with anal fissure: | |||
**Perianal skin can be inflamed. | |||
===HEENT=== | ===HEENT=== | ||
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===Extremities=== | ===Extremities=== | ||
* Extremities examination of patients with anal fissure is usually normal.<br> | * Extremities examination of patients with anal fissure is usually normal.<br> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 22:49, 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 anal fissure is usually remarkable for: painful skin laceration, skin tags in chronic anal
Appearance of the patient
- Patients with anal fissure usually appear in pain.
Vital Signs
- Tachycardia with regular pulse(in pain).
Skin
- Skin examination of patients with anal fissure:
- Perianal skin can be inflamed.
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 anal fissure is usually normal.
Back
- Back examination of patients with anal fissure is usually normal.
Genitourinary
- Genitourinary examination of patients with anal fissure is usually normal.
Local/anal examination
 |
 |
- The examination should be done when the patient is lying in the lateral position. The digital rectal examination is contraindicated in many patients considering the amount of pain.
- Anoscopy/proctoscopy can be done with topical anesthesia with lidocaine jelly to examine/rule out internal hemorrhoids.[3][4]
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.
- Chronic anal fissures may have a skin tag also.
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 anal fissure is usually normal.
Extremities
- Extremities examination of patients with anal fissure is usually normal.
References
- ↑ https://commons.wikimedia.org/w/index.php?curid=8885756
- ↑ https://commons.wikimedia.org/w/index.php?curid=5148617
- ↑ Davies D, Bailey J (2017). "Diagnosis and Management of Anorectal Disorders in the Primary Care Setting". Prim. Care. 44 (4): 709–720. doi:10.1016/j.pop.2017.07.012. PMID 29132530.
- ↑ Schlichtemeier S, Engel A (2016). "Anal fissure". Aust Prescr. 39 (1): 14–7. doi:10.18773/austprescr.2016.007. PMC 4816871. PMID 27041801.