Diagnosis of Anorectal Diseases K. Masuda 1 1Masuda Clinic pp.301-307
Published Date 1977/3/25
DOI https://doi.org/10.11477/mf.1403112534
  • Abstract
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 Because lesions in the anorectal region can be seen and palpated directly their diagnosis is not difficult provided that visual inspection and palpation be done with accuracy. However, one should be careful not to let the patient feel too self-conscious and the examination must be done with sympathy and consideration.

 Digital examination of the anal region must be done as gently as possible and yet fingers should be inserted deep enough to reach the upper part of the rectum. Otherwise, any possible changes in this segment are in danger of being overlooked.

 Great care must also be taken not to pass over the fact that lesions in the anal region could be local signs of other more general disorders such as syphilis, Crohn's disease or ulcerative colitis. In romanoscopic diagnosis it is essential to avoid any possible iatrogenic lesions liable to be caused by the examination.

Copyright © 1977, Igaku-Shoin Ltd. All rights reserved.


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