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肛门直肠疾病的检查方法(Method for examination of anorectal diseases)
肛门直肠疾病的检查方法(Method for examination of anorectal diseases)
Method for examination of anorectal diseases
2010-12-16 Wu Bin Tian Zhenguo
Anorectal examination is very important for newly diagnosed patients with anorectal disease for the first time to the general outpatient service, you can get a preliminary diagnosis, but also because the doctor failed to carefully detailed history and neglect of specialized examination, which lead to misdiagnosis or delayed treatment, resulting in missed the timing of surgery, resulting in medical treatment sorry.
1 ask for medical history
Detailed history is very important to diagnose the disease from the occurrence of symptoms and duration of the evolution process can understand the whole process of the disease, medical history, family history, history of surgery and drug allergy history have diagnostic value for reference.
The typical symptoms of painless anorectal diseases: will the blood refers to defecation, blood, blood or blood, is internal hemorrhoids, mixed hemorrhoids, rectal polyps common symptoms. Will the blood and accompanied by severe pain for anal fissure; recurrent massive bleeding, sometimes accompanied by abdominal cramps, Meckel diverticulum may be. He reeked of bloody mucus diarrhea, should be considered in colorectal cancer. Mucus, pus and blood stool accompanied by abdominal pain and diarrhea, may be chronic ulcerative colitis. Anal bulge in perianal abscess, hemorrhoids, mixed hemorrhoids, rectal prolapse. In addition, hemorrhoids and mixed hemorrhoid injection after ligation, can also cause this symptom. In the late stage, hemorrhoids, mixed hemorrhoids, rectal prolapse, rectal polyp, anal papilla can appear anal prolapse, severe hemorrhoids can be incarcerated in the anus,
Causing swelling and pain, and even erosion and necrosis. Perianal purulent discharge is the main symptom of anal fistula. Moist around the anus, mostly perianal eczema.
2 anorectal fingers
Anorectal digital examination is the most simple
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