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Anal Fissure

Signs & Symptoms

 Located in the posterior midline of the anal canal
Ref: Uptodate [ Anal fissure: Clinical manifestations, diagnosis, prevention]
Anal pain #Acute
Ref: Uptodate [ Anal fissure: Clinical manifestations, diagnosis, prevention]
Severe anal pain #Acute
Note: almost always exacerbated by defecation
Ref: Uptodate [ Anal fissure: Clinical manifestations, diagnosis, prevention]
Severe pain
Ref: Uptodate [ Anal fissure: Clinical manifestations, diagnosis, prevention]

Physical Examination

 External skin tags #Chronic
Ref: Uptodate [ Anal fissure: Clinical manifestations, diagnosis, prevention]
Hypertrophied anal papillae #Chronic
Ref: Uptodate [ Anal fissure: Clinical manifestations, diagnosis, prevention]
Last fewer than eight weeks #Acute
Ref: Uptodate [ Anal fissure: Clinical manifestations, diagnosis, prevention]

Lab / Serology

Imagin Study

Complication

Risk Factors

Cause

 Vaginal delivery
Ref: Uptodate [ Anal fissure: Clinical manifestations, diagnosis, prevention]
Diarrhea
Ref: Uptodate [ Anal fissure: Clinical manifestations, diagnosis, prevention]
Constipation
Ref: Uptodate [ Anal fissure: Clinical manifestations, diagnosis, prevention]

Other