External Hemorrhoid

Aka: External Hemorrhoid

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II. Definition

  1. Dilation of anorectal vessels below Dentate Line

III. Symptoms

  1. Anorectal itching, burning and pain
  2. Constipation often associated

IV. Signs

  1. Perform external exam and Anoscopy
  2. Perianal mass in fixed position
    1. Right Anterior
    2. Right Posterior
    3. Left Lateral
  3. Anorectal Skin Tags may also be present
  4. Observe for Thrombosed External Hemorrhoid

V. Management

  1. See Hemorrhoid Management
  2. See Thrombosed External Hemorrhoid

VI. References

  1. Pickard in Dornbrand (1992) Ambulatory Care, p. 226
  2. Schrock in Feldman (1998) Sleisenger GI, p. 1964-7
  3. Hulme-Moir (2001) Gastroenterol Clin North Am 30:183-97 [PubMed]
  4. Hussain (1999) Prim Care 26(1):35-51 [PubMed]

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