Diferencia entre revisiones de «Anorectal disorders»

Línea 9: Línea 9:
##Off midline = cancer, [[HIV]], [[TB]], [[Crohn's]]
##Off midline = cancer, [[HIV]], [[TB]], [[Crohn's]]


===Pain, No Bleeding===
===Pain and No Bleeding===
#Swelling
#Swelling
##[[Anorectal Abscess|Abscess]]
##[[Anorectal Abscess|Abscess]]
Línea 22: Línea 22:
##[[Proctalgia Fugax]]
##[[Proctalgia Fugax]]


===Bleeding, No Pain===
===Painless Bleeding===
#Cancer
#Cancer
#Internal [[hemorrhoid]]
#Internal [[hemorrhoid]]
Línea 31: Línea 31:


===Itching===
===Itching===
#Discharge: Proctitis
#Discharge: [[Proctitis]]
#No discharge: [[Pruritus Ani]]
#No discharge: [[Pruritus Ani]]



Revisión del 06:35 20 feb 2014

DDX

Anorectal Disorders


Non-GI Look-a-Likes

Algorithmic Diagnostic Approach

Pain and Bleeding

  1. External hemorrhoid
  2. Prolapsed internal hemorrhoid
  3. Anal Fissure
    1. Off midline = cancer, HIV, TB, Crohn's

Pain and No Bleeding

  1. Swelling
    1. Abscess
      1. Perirectal
      2. Ischiorectal
      3. Intersphincteric
      4. Supralevator
    2. Pilonidal Cyst
    3. Anal Fistula
    4. Hidradenitis suppurativa
  2. No swelling
    1. Proctalgia Fugax

Painless Bleeding

  1. Cancer
  2. Internal hemorrhoid

Painless Swelling

  1. Itch: Condyloma acuminata (warts 2/2 HPV)
  2. No itch: Rectal prolapse

Itching

  1. Discharge: Proctitis
  2. No discharge: Pruritus Ani

See Also

Source