Hemorrhoids physical examination: Difference between revisions

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==Overview==
==Overview==
Patients with acute prolapsed or thrombosed hemorrhoids usually appear ill and in pain. Physical examination of patients with hemorrhoids is usually remarkable for itching marks at the [[anal verge]], prolapsed external hemorrhoids and [[tenderness]] on [[digital rectal examination]].
Patients with [[Prolapse|acute prolapsed]] or thrombosed hemorrhoids usually appear ill and in pain. Physical examination of patients with hemorrhoids is usually remarkable for scratch marks at the [[anal verge]], [[prolapse|prolapsed]] external hemorrhoids, and [[tenderness]] on [[digital rectal examination]].


==Physical Examination==
==Physical Examination==
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===Skin examination===
===Skin examination===
*Inspection of the [[anal verge]] may show itching marks and [[skin tags]].
*Inspection of the [[anal verge]] may show scratch marks and [[skin tags]].
*Inspection also may reveal external hemorrhoids or prolapsed internal hemorrhoids.
*Inspection also may reveal external hemorrhoids or [[prolapse|prolapsed]] internal hemorrhoids.


===Digital rectal examination===
===Digital rectal examination===
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==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Surgery]]
[[Category:Surgery]]
[[Category:Primary care]]
[[Category:Needs overview]]
[[Category:Needs overview]]
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{{WS}}

Latest revision as of 22:03, 29 July 2020

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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 scratch marks at the anal verge, prolapsed external hemorrhoids, and tenderness on digital rectal examination.

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 scratch marks and skin tags.
  • Inspection also may reveal external hemorrhoids or prolapsed internal hemorrhoids.

Digital rectal examination

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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